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Philadelphia Indemnity Insurance Company <br />Additional Insured Schedule <br />Policy Number: PHPK2137107 <br />Additional Insured <br />City of Santa Ana <br />Risk Management Division <br />20 Civic Center Plz A 4 <br />Santa Ana, CA 92701-4058 <br />Page 2 of 3 <br />_ Risk ManWmenf Divisbn <br />REVIEWED& APPRO MBY. <br />.i oYYo •NFr?• 1 �/ KM1 h. VuuNRC <br />�. <br />® Risk Management Analyst <br />