TITLE
AMENDMENT #10 - APPLICATION FOR GROUP COVERAGE FOR POLICY #50703 - ADD COVERAGE FOR CHILDREN OF LEGAL GUARDIANSHIP ON SAME BASIS AS ANY OTHER ELIGIBLE DEPENDENT CHILD, EFFECTIVE 1/1/2008 (NOTE: PER HUMAN RESOURCES, GREAT-WEST LIFE & ANNUITY INSURANCE COMPANY SIGNATURE NOT NECESSARY) (ASSISTANT CITY MANAGER SIGNED 3/6/2008)