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-- REPRINTED FROM THE ARCHIVE. THE ORIGINAL TRANSACTION MAY INCLUDE ADDITIONAL FORMS -- <br />POLICY DECLARATIONS EXTENSION <br />NAMED INSURED: STAGE PLUS, INC <br />ADDITIONAL INSURED <br />UNIVERSITY OF LA VERNE <br />PREMISES 001 1950 THIRD ST <br />LA VERNE, CA 91750 <br />Al PRIMARY COV BP8194 & BP8051 <br />POLICY NUMBER: 02 -BP- 628057 -9 <br />PAGE 7 <br />ADDITIONAL INSURED <br />CITY OF SANTA ANA,ITS OFFICERS <br />PREMISES 001 EMPLOYEES, AGENTS & <br />REPRESENTATIVES <br />20 CIVIC CENTER PLAZA <br />SANTA ANA, CA 92702 <br />BP8194 <br />4 0 <br />�G <br />Q <br />AFP- META2- 12- PRINTO01 -1341 0012 H L <br />