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Policy number: 980097855 <br /> Straightline Communications LLC <br /> Page of 3 <br /> Additional Insured information <br /> .................................................................................................................................................................... <br /> 1. Additional Insured The City of Beverly Hills <br /> 345 FootHill Road <br /> Beverly Hills,CA 90210 <br /> .................................................................................................................................................................... <br /> 2. Additional Insured City of Santa Ana,its City Council,Officers,Official, Emp <br /> 20 Civic Center Plaza <br /> Santa Ana,CA 92702 <br /> Waiver of Subrogation information <br /> .................................................................................................................................................................... <br /> 1. Waiver of Subrogation The City of Beverly Hills <br /> 345 FootHill Road <br /> Beverly Hills,CA 90210 <br /> .................................................................................................................................................................... <br /> 2. Waiver of Subrogation City of Santa Ana,its City Council,Officers,Official, Emp <br /> 20 Civic Center Plaza <br /> Santa Ana,CA 92702 <br /> Important Notice <br /> For your protection California law requires the following to appear on this form.Any person who <br /> knowingly presents false or fraudulent information to obtain or amend insurance coverage or to make a <br /> claim for the payment of a loss is guilty of a crime and may be subject to fines and confinement in state <br /> prison. <br /> Company officers <br /> President Secretary <br /> Form 6489 CA(05/21) <br />