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SPECTRUM POLICY DECLARATIONS (Continued) <br />POLICY NUMBER: 46 SBM BF4520 <br />ADDITIONAL INSUREDS: THE FOLLOWING ARE ADDITIONAL INSUREDS FOR BUSINESS <br />LIABILITY COVERAGE IN THIS POLICY. <br />LOCATION 001 BUILDING 001 <br />TYPE VENDOR <br />NAME SEE FORM IH 12 00 <br />TYPE PERSON ORGANIZATION <br />NAME SEE FORM IH 12 00 <br />TYPE STATE POLITICAL SUBDIVISION <br />NAME SEE FORM IH 12 00 <br />TYPE OWNER, LESSEES OR CONTRACTORS <br />NAME SEE FORM IH 12 00 <br />Form SS 00 02 12 06 Page 005 (CONTINUED ON <br />Process Date: 12/29/21 Policy Expirati <br />Risk Mewpnent Diuisinn <br />, rVvfYiiry.[ <br />RENEWED& APPP,R�"CWED BYE: <br />e n -• r4R. t�� <br />�'. <br />® Rkk Management Analyst <br />