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<br />"'-(~". O"l'a Cable At: Hylant GroLlp, lnc FaxlD: Hylant Group To: Carla Thompkins <br /> <br />Philadelphia Indemnity Insurance Company <br /> <br />Additional Insured Schedule <br /> <br />Policy Number: PHPK187988 <br /> <br />Add itional Insured <br /> <br />MAD SCIENCE GROUP <br />8360 BOUGAINVILLE ST., STE, 201 <br />MONTREAL, QU H4P2G-1 <br />CG2029 - CA - Lac #1 <br /> <br />Additional Insured <br /> <br />City of Santa Ana (with respect to <br />Santiago Lawn Bowling Clubhouse <br />at 510 E Memory Lane) <br />888 W Santa Ana #200 <br />POBox 1988 M-23 <br />Santa Ana, r:A 9/l02 <br /> <br />CG2010 - General liability <br /> <br />Page 1 of 1 <br /> <br />'~/J / <br />?~:.f, ~~ <br />/'" /." :; <br />./ <br /> <br />Date: 10/1312006 03-32 r'M Page: 3 013 <br />