Laserfiche WebLink
<br />Declaration Number: (lOl <br />Effective Date: 07/1912006 <br /> <br />Policy Number: SBP204616-1 <br />Luis E Rivera MD, Ine <br /> <br />Page 6 <br />r-- <br />I <br /> <br />MORTGAGEES, LOSS PA YEES and ADDITIONAL INSUREDS <br /> <br />List of Mortgagees, Loss Payees and Additional Insureds by Location <br /> <br />Location: 1 <br />Risk: 1 <br /> <br />2222 S Main Street, Santa Ana, CA 92707 <br />Medical offic~-Jrug pre screening <br /> <br />Additional lnsured <br /> <br />City Of Santa Ana Its Officers And <br />20 Civic Center Ph17.a <br />Sanla Ana, CA 92701 <br /> <br />Fonn Number: BP0448 <br /> <br />, <br />, <br />, <br />I <br />L__ <br /> <br />D<l.te Printed 07/25/2006 <br /> <br />INSURED <br /> <br />BOPMrl.r,>.ilj,,-a <br />