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0 <br />0 <br />0 <br />0 <br />0 <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 />Type: Notice of Cancellation or Material Coverage Change <br />Additional Interest Name and Address: <br />CITY OF SANTA ANA RISK MANAGEMENT DIVISION <br />20 Civic Center Plaza, 4th FL <br />SANTA ANA , CA 92702 <br />R11eMa+genedUiwio. <br />.. �wID6AwxwmBr. <br />rsaxx,�.,ym�,n..;Qiane <br />INSURED <br />