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Philadelphia Indemnity Insurance Company <br />Additional Insured Schedule <br />Policy Number: PHPK1297595 <br />Additional Insured <br />City of Santa Ana it officers, employees <br />agents and representatives <br />Attn: PRCSA <br />20 Civic Center Piz M-23 <br />Santa Ana, CA 92701-4058 <br />CG2026 - General Liability <br />Re: Use of facilities to conduct classes <br />Reviewed by <br />Carmen Acosta <br />PRCSAIRecreation <br />Page 20 of 20 <br />