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CJN INSURANCE SERVICES/PHS <br />PO BOX 3301 5 <br />SAN ANTONIO TX, 78265 <br />City of Santa Ana <br />Attn: Purchasing Dept <br />20 CSVSC CENTER PLZ <br />SANTA ANA , CA 9 2 7 0 1 <br />APPROVED A? 'lo rc..=:y"."; <br />a 1 <br />LISA E. STORCK <br />Assistant City Attorney <br />ACORD 25 (2009/09) <br />Exhibit C