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PI-AI-SCH (08/20) <br />Philadelphia Indemnity Insurance Company <br />Additional Insured Schedule <br />Policy Number: PHPK2663995 <br />Additional Insured <br />Huntington Beach City School District <br />its Board, officers, agents, volunteers <br />and employees <br />8750 Dorsett Dr <br />Huntington Beach, CA 92646-7149 <br />CG2026 - General Liability <br />Use of Premises for Soccer Camps <br />Additional Insured <br />The City of Palmdale, Successor Agency <br />to the Community Redevelopment Agency of <br />the City of Palmdale, Palmdale Civic <br />Authority, Housing Authority, Industrial Development Authority, Airport <br />Authority, their officers, agents, employees and volunteers. <br />827 E Avenue Q9 <br />Palmdale, CA 93550-4732 <br />CG2026 - KS - Loa #ALL - ADDL INS PRIMARY & NON-CONTRIBUTORY INS <br />Re: Use of facility for soccor camps. <br />Additional Insured <br />Conejo Recreation & Park District, its <br />Directors, Officers, Agents, & Employees <br />403 W Hillcrest Dr <br />Thousand Oaks, CA 91360-4223 <br />CG2010 - General Liability <br />Re: Use of Facility for Sports Camps <br />Additional Insured <br />City of Mission Viejo, its officers, <br />officials, employees, agents, and <br />volunteers. <br />200 Civic Ctr <br />Mission Viejo, CA 92691-5519 <br />CG2026 - General Liability <br />Re: Use of Facility for Sports Camps <br />PI-AI-SCH (08/20) <br />Page 1 of 10 <br />