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PI-Al-SCH (08120) <br />Philadelphia Indemnity Insurance Company <br />Additional Insured Schedule <br />Policy Number: PHPK2663995 <br />Additional Insured <br />City of Seal Beach <br />211 8th St <br />Seal Beach, CA 90740-6305 <br />CG2012 - General Liability <br />re: Tiny Tyke Soccer in September- November 2022 <br />Additional Insured <br />City of Redwood City, <br />its officers, agents, volunteers, and <br />employees <br />1400 Roosevelt Ave <br />Redwood City, CA 94061-1460 <br />CG2026 - General Liability <br />re: use of field <br />Additional Insured <br />The City of Anacortes and its <br />officers, elected officials, employees, <br />agents, and volunteers <br />PO Box 547 <br />Anacortes, WA 98221-0547 <br />CG2010 - General Liability <br />re: Soccer Summer Camps <br />PI-AI-SCH (08/20) <br />Page 4 of 10 <br />