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POLICYNUMBER:57 SEA LG3081 <br />t <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br />ADDITIONAL INSURED - PERSON - ORGANIZATION <br />002 001 <br />CITY OF ROSEVILLE ITS OFFICERS, AGENTS, EMPLOYEES AND VOLUNTEERS <br />311 VERNON ST <br />ROSEVILLE, CA 95678 <br />001 001 <br />CITY OF HOUSTON <br />611 WALKER ST <br />HOUSTON, TX 77002 <br />THE CITY OF SANTA CLARITA, ITS RESPECTIVE ELECTED AND APPOINTED <br />BOARDS, OFFICIALS, OFFICES, AGENTS, AND EMPLOYEES <br />23920 VALENCIA BLVD <br />SANTA CLARITA, CA 91355 <br />CITY OF SANTA ANA <br />ITS OFFICERS, EMPLOYEES, AGENTS, VOLUNTEERS AND REPRESENTATIVES <br />20 CIVIC CENTER PLZ <br />SANTA ANA CA 92701 <br />Form IH 12 00 11 85 T SEQ. NO. 015 Printed in U.S.A. Page 001 <br />Process Date: 08/31/16 Expiration Date: 10/01/17 <br />� v <br />(�e'J ewe lo") <br />a W6 <br />