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Policy number: 989951062 <br /> Stage Plus,Inc. <br /> Page4 of 4 <br /> Premium discount <br /> Policy <br /> ..............................................................................................................................................I....... ... .................. <br /> 989951062 Multi-Product <br /> Additional Insured information <br /> Blanket Additional Insured applies, <br /> 1, <br /> "s'u.re...................... ..................Cityo.. ....f.Santa........Ana............................................................... ..................... <br /> Additional Insurd <br /> Attn:Parks, Recreation,Community Svcs <br /> 20 Civic Center Plaza,M-23 <br /> Santa Ana, CA 92701 <br /> Waiver of Subrogation information <br /> Blanket Waiver of Subrogation applies. <br /> ...................... ................... ............................................................ ................. <br /> 1, Waiver of Subrogation Ci�of Santa Ana <br /> 20 Civic Center Plaza,M-23 <br /> Santa Ana,CA92701 <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(05P 1) <br />