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POLICYNUMBER: 72 sBA Boszz9 <br />?: <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br />ADDSTIONAL INSURED - OWNER, LESSEES OR CONTRACTOR <br />CITY OF SANTA ANA <br />SANTA ANA CA 92702 <br />C = TY O F LONG BEACH , WORKFORCE DEV . BUREAU <br />3447 ATLANTIC AVE, 3RD FLOOR <br />LONG BEACH <br />CA 90807 <br />ppBRO?D Rg TO FORM <br />T ORGK <br />L\SA EC tY pttorneY <br />Assistant <br />?? <br />Form IH 12 00 ?? 85 T SEQ. NO. 002 printed in U.S.A. Page o01 <br />Process Date: io/zo/io Expiration Date: 09/27/11 <br />UW COPY