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POLICY NUMBER INSURED NAME AND ADDRESS <br />3 60111,408514 HOLISTIC YOGA & ifEA."TH I.i,C <br />10015 GARDEN GROVE BI.Vr <br />GARDEN GROVE, CA 92844 <br />ADDITIONAL INTEREST SCHEDULE <br />LOCATION I BUILDING <br />The following has been added to your policy effective 04/21/2016 <br />Type: Designated Person or Organization <br />Additional Interest Name and Address: <br />CITY OF SNATA ANA, ITS OFFICERS, EMPLOYEES, AGENTS <br />20 CIVIC CENTER PLAZA M-23 <br />SANTA ANA CA 92701 <br />LOCATION 2 BUILDING <br />The following has been added to your poi -icy effective 04/21/2016 <br />Type: Designated Person or Organization <br />Additional Interest Name and Address: <br />CITY OF SNATA ANA, ITS OFFICERS, EMPLOYEES, AGENTS <br />20 CIVIC CENTER PLAZA - M-23 <br />SANTA ANA , CA 92701 <br />,,,viewed bV <br />Acosta <br />caf ?CSNRe <br />cfeation <br />q, <br />INSURED Page 2 of 3 <br />