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SCOTTSDALE INSURANCE COMPANY, <br />SCHEDULE OF LOCATIONS <br />Policy No. CPS2561230 Effective Date 11/26/2016 <br />12:01 A.M. Standard Time <br />Named Insured HIBA SHUBLAK DBA: ACTIVE LEARNING Agent No. 04068 <br />Prem. <br />No. <br />Bldg. <br />No. <br />Designated Premises <br />(Address, City, State, Zip Code) <br />Occupancy <br />1 <br />1 <br />14 SURFSIDE COURT <br />DANCE INSTRUCTOR <br />NEWPORT BEACH, CA 92663 <br />UTS-SP-3 (8-96) INSURED <br />