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Philadelphia Indemnity Insurance Company <br />Additional Insured Schedule <br />Policy Number: PHPK829334 <br />Additional Insured <br />City of Santa Ana <br />20 Civic Center Pfaza <br />Santa Ana, CA 92701 -4058 <br />CG2011 - CA -Loc # 10 <br />With respecrt to the recreational program <br />CG2011 - CA -Loc # 11 <br />With respect to the recreational program <br />CG2011 - CA -Loc #12 <br />With respect to the recreational program <br />Page 3 of 3 <br />