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Philadelphia Indemnity Insurance Company <br />Additional Insured Schedule <br />Policy Number: PHPK 3897 <br />Additional Insured <br />Los Angeles Unified School District <br />PO Box 570 <br />Los Angeles, CA 90054-0670 <br />C202 - General Liability <br />Additional Insured <br />UCLA Center for Community Partnerships <br />PO Box 910 <br />2333 Murphy Hall <br />Los Angeles, CA 9 0 5-1 0 <br />CC202 - General Liability <br />Additional Insured <br />City of Santa Ana <br />Attn: Pars & Recreation <br />20 Civic Center PI <br />Santa Ana, CA 9201-58 <br />C O - CA- L c #1- 334 (THEATRICAL COMPANY -TRAVELING) <br />RE: Parrs & Recreations from 9 23 08 to 3 31 09 <br />Additional Insured <br />City of San Gabriel, its elected and <br />appointed officials, employees, <br />volunteers ardor agents <br />320 s Fission Dr <br />San Gabriel, CA 9177- 110 <br />2 2 - CA - L c # 1- 334 (THEATRICAL COMPANY-TRAVELING <br />Special Event 32- 28 <br />Additional Insured <br />AEC LA Live <br />Evelyn Taylor Carrion <br />800 W Olympic Blvd # A220 <br />Los Angeles, CA 90015-1360 <br />C202 - General Liability <br />With regards to the Congo Room Event on 17 09 <br />Page 1 of 2 <br />