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7 <br />POLICY NUMBER -INSURED NAME AND ADDRESS <br />B 6025612892 Gruen Associates <br />6330 SAN VICENTE BLVD STE 200 <br />LOS ANGELES, CA 90048 <br />ADDITIONAL INTEREST SCHEDULE <br />LOCATION 1 BUILDING 1 <br />The following has been added to your policy effective 06/16/2021 <br />Types Owners , Lessees or Contractors <br />Additional Interest Name and Address <br />CITY OF SANTA ANA <br />20 CIVIC CENTER PLAZA <br />4TH FLOOR <br />SANTA ANA CA 92702 <br />Chairman of the Board <br />Countersignature <br />Itb6 Mvagaw<nf Ulwtaa <br />ReklMnagenmeOmalP�d <br />SB-146895-A (Ed. 01/06) INSURED .n'. 1 „1 <br />