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NAMED INSURED Card Integrators Corporation, <br />nBA: CI Sol <br />MAILING ADDRESS 3625 Serpentine Dr <br />Los Alamitos, CA 90720-2440 <br />POLICY PERIOD: FROM 08/06/2018 TO 06/06/2019 at <br />12:01A.y0.Standard Time atYour mailing address shown above. <br />CHANGE EFFECTIVE 11/87/2018 CHANGF#] REV|8|0N#] <br />DESCRIPTION <br />In consideration of the premium reflected, the policy is amended as indicated below: <br />Additional Insured tothe policy: <br />City ufSanta Ana ' Policy Dept, its officers, employees, agents, and <br />representatives <br />6QCivic Center Plaza <br />Santa Ana, C49Z781 <br />Path 1D1ZZ11S18 <br />Total Annual Total Prorate <br />Ad4itinoaYFebmPremium $ 0.00 Add[tivnmKRnhumPmmiom0.00 <br />NO CHANGE NO CHANGE <br />COUNTERSIGNED BY <br />(Date) (Authorized Representative) <br />11/U9/2O18 <br />Issue Date Insurance Policy Page 1»f1 <br />