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Rmcia�iYiaaY.c:. :�? ' r:45M1a.a,MAILSW <br />POLICY NUMBER INSURED NAME AND ADDRESS <br />S 6024686380 Benevate, Inc <br />3423 PIEDMONT RD NE <br />ATLANTA, GA 30305 ,g <br />ADDITIONAL INTEREST SCHEDULE <br />LOCATION 1 BUILDING <br />The following has been added to your policy effective 03/13/2020 <br />Type; Notice of. Cancellation <br />Additional Interest Name and <br />CITY OF SANTA ANA <br />RISK MANAGEMENT DIVISION <br />20 CIVIC CENTER PLAZA <br />SANTA ANA <br />or Material Coverage Change <br />Address: <br />CA 92702 <br />Types State, Political -Permits <br />Additional interest Name and Address: <br />CITY OF SANTA ANA <br />RISK MANAGEMENT DIVISION <br />20 CIVIC CENTER PLAZA <br />SANTA ANA , CA 92702 <br />REVIEWED & APPROVED <br />try Risk MANAgeMENT DiVisjON <br />ju�*02Q <br />AN(ile Acevedo <br />AGENT Page 3 of <br />