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06/18/2002 TUE 10:26 FAX 003 <br /> JLIN-•17-2062 03:25P !'RrJM: T 167774111 <br /> Policy Number: Commercial General Liablliiy <br /> CCT 20 10 10 93 <br /> #�Jp0�1 I34 <br /> Y& W Drilling br- <br /> Uiis TND0RSEMENT CHANGES"yHT POLICY,1'LEASh:'READ IT <br /> C-A R NTt ILLY, <br /> 1 <br /> ADDITIONAL INSURED-OWNERS,LESSEES OR CONTRACTORS <br /> (FORM B) <br /> TWw ell dnrfwmeutmodifies insu=c:e provided tmdcr iba following: <br /> COM ER,CTAL GENERAL LL4B rr V COVE1tAGE PART. <br /> SCHEDULE <br /> Name or rcr5on or Organization: City of slocktun <br /> IEK OCtTcexw,A.�cnts,tittd Erupluycu� <br /> 425 N.El Dorado Street <br /> REncktou,CA 95202 - <br /> (If S30 cnhy apprare.abovc,in1bn=Tjom regkxirod io etimplate this=dorsenwnt will be shown in the <br /> Declan6gn:l as:r applicable to this emdorsemcnt) <br /> ''VHV 15 AN INSURED(Seclinn 11)is etueaded to include a l an insured the person or erycniradnn shovm <br /> in the Schedule,but aniy wlth respect to liability ari.%ng out of your ongoing operacinris performed far that <br /> insumd. <br /> CG 2010 10 91 copyright,iiisumnct Services Otficc,IrIc,, 1992 <br /> 06/17/2002 MON 14:23 rTX/RX NO 75321 0.1002 <br />