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hI10 <br />H I SCOX HISCOX INSURANCE COMPANY INC. (A Stock Company) <br />/� 233 North Michigan Avenue, Suite 1840 Chicago Illinois 60601 <br />The City of Santa Ana August 01, 2014 <br />Certificate Holder Date <br />Authorized Representative <br />August 01, 2014 <br />Date <br />CG DS 0101 10 Includes copyrighted material of Insurance Services Office , Inc., with Page 3 <br />its permission. ® ISO Properties, Inc.. 2000 <br />