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POLICY NUMBER: 57 SBA BE3452 <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br />ADDITIONAL INSURED - PERSON - ORGANIZATION <br />CITY OF SANTA ANA, IT'S OFFICER'S, AGENTS AND EMPLOYEE'S <br />20 CIVIC CENTER PLAZA <br />Q SANTA ANA, CA 92702 <br />em <br />.APPRO' IC AS TO POII.N! <br />LISA E. STO RCK <br />Assistant City Attorney <br />Form IH 12 00 11 05 T SEQ. No. 0 04 Printed in U.SA. Page 0 01 <br />Process Date: 05/07/13 Expiration pate. 01/09/14 <br />INSURED COPY <br />