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Philadelphia Indemnity Insurance Company <br />Additional Insured Schedule <br />Policy Number. PHPK141731 <br />Additional Insured <br />CITY OF CYPRESS, CYPRESS RECREATION PARK <br />DISTRICT <br />5275 ORANGE AVE. <br />CYPRESS, CA 90620 <br />CG2026 - CA -Loc #1 <br />Additional Insured <br />CITY OF SANTA ANA <br />COMMUNITY DEVELOPMENT AGENCY <br />M-25 <br />P. O. BOX 1988 <br />SANTA ANA, CA 92702_1988 <br />CG2026 - CA -Loc # 1 <br />:> -,~. <br />`; , ;t',,~ `~' `; <br />.i i <br />AA CiOG' ' <br />f~. ~s:s.~ s;,, li ~ltV A <br />Page 1 of 1 <br />