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Philadelphia Indemnity Insurance Company <br />Additional Insured Schedule <br />Policy Number: PHPK2006438 <br />Additional Insured <br />Huntington Beach City School District <br />17011 Beach Blvd Ste 560 <br />Huntington Beach, CA 92647-7492 <br />CG2026 - General Liability <br />RE: Contract for teaching demonstrations <br />AddWonal Insured <br />City of Santa Ana <br />Risk Management Division <br />20 Civic Center Plaza, M-28 <br />PO Box 1988 <br />Santa Ana, CA 92701-4058 <br />CG2026 - General Liability <br />REVIEWED & APPROVEL <br />By Risk V1AN-%QEA1W OMSiON <br />Page 6 of 6 JU.. _ L 29 �o�� f] <br />hKAN IIIlbKE-RR..-VILLLA(NI:ALL <br />