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POLICY NUMBER; 72 SBA tFW5601 <br />n� <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br />ADDITIONAL INSURED - PERSON -ORGANIZATION <br />ORANGE COUNTY WORKFORCE INVESTMENT BOARD <br />0 <br />THE COUNTY OF ORANGE AND THE STATE OF CALIFORNIA <br />v <br />1300 S GRAND AVENUE BLDG B 3RD FLOOR <br />SANTA ANA, CA 92705 <br />m <br />0 <br />CITY OF ANAHEIM WORKFORCE DEVELOPMENT <br />ITS OFFICIALS, AGENTS, EMPLOYEES, REPRESENTATIVES <br />AND VOLUNTEERS <br />Pry <br />50 SOUTH ANAHEIM BLVD., STE 200 <br />o <br />ANAHEIM, CA 92805 <br />0 <br />0 <br />COMM" -UNITY DEVELOPMENT AGENCY AGENCY M-25 CITY OF <br />SANTA ANA, <br />ITS OFFICERS, EMPLOYEES, AGENTS AND VOLUNTEERS 20 <br />CIVIC CENTER PLAZA <br />SANTA ANA, CA 92702 <br />PO BOX 1988 <br />SANTA ANA, CA 92702 <br />SANTA ANA NIA OFFICE <br />PO BOX 1988-M73 <br />SANTA ANA, CA 92702 <br />CITY OF SANTA ANA <br />20 CIVIC CENTER PLAZA <br />SANTA ANA, CA 92702 <br />APPROVED AS <br />TO FORM: <br />_ <br />CRISTTALLEY, CITY ATTORNEY <br />BY <br />Form IN 12 <br />1%30/ Eq. NO. 002 Printed In U.S.A. Page 007 <br />Process Date: 11 85 T <br />11 Expi atlon Dete: 02/12�}/i1J <br />UW COPY <br />l <br />EXFIIF IT I <br />C, tm Att�rne <br />