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PI-MANU-1 (01/00) <br />THIS ENDOPSEMENT CHANGES THE POLICY, PLEASE READ IT CAREFULLY <br />ADDITIONAL INSURED - PRIMARY COVERAGE <br />"HE E,1SC1p.1_M4F1Nj' C�"_"GES T:x S Vo:."Cy, P 1,S%SR k�A;) 1 11 CARJ.:EYU:, .1 <br />ADDI"ONAZ, nl'S'Rr_'n - _OVER;te_,'u, <br />TNIS i*iZ015'1!S INSU A"',Ca FROVICCID U . nDER THE FOLLOWENC: <br />COK'4rR,-,!A:y GENEPA_ ="ERAGE NARP, C(S-W.EJRC�AL AVTOMQI:Tl.E <br />NAME OF PL,SON ZIP ORGANKZJMi %N: <br />OF SA,'N'TA ANNA, !TS EMPLOYEES AN-, AGT,',','TS, z0 C!Vr," CF-MTR, <br />:'LAZA, 9;,4TA ANNA, -,:A 9270J-405S <br />HO S ANY INSURI-1- _11 S ;04ZXrE0 T') TAK;L,'__cF AS AN Un,'_.RED THE <br />:'LMGN' OR, ;R3ANIZATT,0:' "4"M' <br />N N _SE si-ill-'UIR, i W:,t W1,4 PE31iF.C- 10 V7 <br />__.F YOUR WORX'r F.;R TAAT 1"SURZID LY GR Foi3 <br />�'M _WIN TC IV 10141MV-13 <br />"s PAAA, <br />11r , toW, <br />"RA. -, <br />4. OTHBR .'MVJR.Ai4CE <br />D) rHTS _IHSIJIRANICE , LO FOR T.;E FERSON OR L%i TE"s <br />SCH °DrJi...r OJT wORK Fop, <br />Ot�LY '.@T�p RESPZ-'TS '�O 1-TABIr ITY AR ISING CW, OF OUR <br />I - — <br />THAT BY OR FOR You". oviER I.NSUR2i' F �F?o - <br />Sc, - "Rzz_� 70 rNSUREC -w_':'i. <br />APS':.Y AZ ZXCES& ?HY NOT CIN'TRrcUTE AS PRIMP -' TO 7-P,-rl r jri_!FAk4_11E aFFORDED, B'f <br />K­ :ETHER TER145 _'r,1DTT_'0*jS OF TKS REMAIN <br />?_60a (1_03" <br />All other terms and conditions of this Policy remain unchanged. <br />Page 1,of 1 <br />PJ" <br />