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<br />SHAW MOSE.S MENDENHALL & ASSC/PHS <br />PO BOX 33015 <br />SAN AN r ONIO I X, 7826:' <br /> <br />City of Santa Ana <br />20 civic Center Plz # M36 <br />Santa Ana, CA 92701 <br /> <br />Additional Certholder Text <br /> <br />The City of Santa Ana, its officers, employees, agents, volunteers, and <br />representatives are listed as additional insured per the business liability <br />coverage form 880008, attached to this policy. A Business Liability Waiver of <br />Subrogation applies to the certificate holder per form S80008, Waiver of <br />8ubrogation. Coverage is primary & non-contributory per the Business Liability <br />Coverage Form 880008. Insurance applies separately to each interest against whom <br />claim is made or "emit" is brought per the Business Liability Coverage Form 880008. <br /> <br />7/ <br /> <br />r:{ <br />~)4) <br /> <br />^CORD 25~S 17197) <br /> <br />