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POLICY NUMBER: 72 saA soaz29 <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br />ADDITIONAL INSURED - OWNER, LESSEES OR CONTRACTOR <br />CITY O F SANTA ANA <br />SANTA ANA CA 9 2 7 0 2 <br />CITY O F LONG I3 EACH , WORKFORCE DEV . BUREAU <br />3447 ATLANTIC AVE, 3RD FLOOR <br />LONG BEACH <br />CA 90807 <br />TO FORM <br />pp4RO?D p,8 <br />gT ORCK <br />L\SA ECitY Attorney <br />assistant <br />?? <br />Form IH 12 00 11 85 T SEp. NO. 002 printed in U.S.A. Page 001 <br />Process Date: 10/20/10 Explratlon Date: 09/27/11 <br />UW COPY