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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 Plaza <br />Santa Ana, CA 92701 -4058 <br />CG2011 - CA - Loc #10 <br />With respect 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 <br />