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M <br />POLICY NUMBER:72 SSM IA4897 <br />rA <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE REAM IT CAREFULLY. <br />ADDITIONAL INSURED - PERSON -'ORGANIZATION <br />m <br />o ORANGE COUNTY TRANSPORTATION AUTHORITY <br />550 S MAIN ST <br />PO BOX 14184 <br />o ORANGE CA 92863-1584 <br />Ll <br />CITY OF SANTA. ANA <br />20 CIVIC CENTER PLAZA <br />tea__ SANTA MA,,CA 92701 <br />N <br />N <br />O <br />d <br />N CITY OF FULLERTON <br />303 W COMMONWEALTH AVE <br />FULLERTON, CA 92832 <br />Form IH 12 0011 86 T $FQ. NO. 003 Print®din U.S.A. Mage 001 <br />Process Date: 09/20/13 ExpirationDety 05/14/7.4 <br />INSURED COPY <br />