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POLICY NUMBER: 72 SSA IT7595 <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br />ADDITIONAL INSURED - PERSON - ORGANIZATION <br />CITY OF SANTA .ANA, ITS <br />REPRESENTATIVES <br />20 CIVIC CENTER PLAZA <br />SANTA ANA, CA 92702 <br />OFFICERS, EMPLOYEES, AGENTS, VOLUNTEERS AND <br />Form IH 12 00 11 85 T SEQ. NO. 003 <br />Process Date: 05/20/16 <br />Printed in U.S.A. Page 001 <br />Expiration Date: 08/01/17 <br />�1ti <br />