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<br />POLICY NUMBER: 65 SBM PY2472 <br /> <br />¿ <br /> <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br /> <br />ADDITIONAL INSURED - PERSON-ORGANIZATION <br /> <br />CITY OF SANTA ANA AND ITS <br />EMPLOYEES AND VOLUNTEERS <br />20 CIVIC PLAZA <br />P. O. BOX 1988 <br />SANTA ANA, CA 92702 <br /> <br />Form IH 12001185 T SEQ. NO. 001 <br />Process Date: 09/01/04 <br /> <br />~¥,J~; (L¡ "II Ii <br /> <br />OFFICERS, AGENTS, <br /> <br />Printed in U.S.A. Page 001 <br />Expiration Date: 06/15/05 <br /> <br />uw COpy <br />