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From. 323-845-9917 To, 7145714209 Page: 414 Date. 5/17MI3 8:56.40 AM <br />Pl-MANU_1 (41100) <br />1'Fi?? ??9D4?Ft??N? ?H?i?G?S 7t?? ?f3LI?Y PL?A?E R?AC2 I'T ?A?tEFULLY <br />Amendment - Common Policy Conditions Notice of Cancellation, Non-Renewal <br />P^,bl t+i SEA{i' CHARGES LPt ` :_... PLEACEE P L: IT CAREFULL7. <br />ni it f aAk'. rd': N, r, F I , 'I:7T3 03 m & 1.. I n. ? Ik,n"I , u <br />1 ,F :.::AL , H lY,E M 1:f' TO )THEP.- <br />ThN P: <br /><mlo m;..e:t r 'if9.a- it smecr r r ;;xi L;r: Chia 1 win:;}:. <br />lNMU F' '?i. dTEQid: <br />0 A- 13- <br />AIM- L.'e11a ian, flan < =ceai _ Hot-r.r_a har,ga <br />i ; .,_ slw, A,_a k, ksJt ..., a? , nu_sz_> ter. cvs a,a[rw._ <br />7 t szi .?, P.? rO m"$ r ,,nti 8ne, ':a 327)2 <br />ar* ;rpjeaca rtErcmae_ n required 4_ : wploto thie <br />Neaa=- r !l. 5, .thaw.) in rt. E?n;LN a 'oa:= is apclic-xr k tr, Ails <br />,r,- '-,a L,-.wirn1 aside: ,:Lion i ancel a en: <br />one ,. ,nt _lwt. a- cancel or non-r r NO n - ax <br />nq: which o.lu_ or rmst rvs vQ lins risoe n.f -xdPl ro tov. we <br />1Y.- -0 '", e ri.; r r3072 nr Mn,^mI 044r, n. rn. , <br />L the narne s dl r dre;rsv s ah,wn in the 5 h &A? cC this enc vnf <br />.ei mays ?f ativanc- n?ticel x zr cal -.t ter,, no lene-wai r_?L <br />n al h rhn. ., rnt t,., the nam +=st shown in t Yh?du?. ehall r to <br />qr.-.nt.c x thin th -nLutn y r..caie m ._ tas s }t r hD the inx,}rs-" and -an <br />r: hr,. 1 rh_tn tl-_s nnc-1 a rer .<:,^.... <br />All other terms and conditions of this Policy remain unchanged. <br />Page i of i <br />Rick Gornbar Insurance Services, Inc. 804-446-6227 <br />V,__ <br />?~ I ,,,orr9eY. <br />?G Vl <br />Fax from : 32384599.17 05/17/13 09.81 Pg; 4