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WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC 04 00 02 (Ed. 7-98) <br />EXTENSION OF INFORMATION PAGE <br />Schedule of Name Insured <br />ITEM 1 <br />Policy No. MWC0017162-01 <br />Name Insured FEIN <br />Santa Ana Police Officers Association (a nonprofit organization) 952748200 <br />©1998 by the Workers' Compensation Insurance Rating Bureau of California. All rights reserved. <br />From the WCIRB's California Workers' Compensation Insurance Forms Manual ©2001. 2 of 28 <br />