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POLICY NUMBER: 30 SBM T08465 AL <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br />ADDITIONAL INSURED - PERSON -ORGANIZATION <br />m THE CITY OF SANTA ANA <br />0 <br />� 20 CIVIC CENTER PLAZA <br />r <br />o SANTA ANA, CA 92701 <br />Form IH 12 00 11 85 T SEQ. NO. 002 Printed in U.S.A. Page 001 <br />Process Date: 02/25/11 Expiration Date: 05/04/11 <br />UW COPY <br />