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POLICY NUMBER: 72 SSA UW5601/ <br />9 <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br />ADDITIONAL INSURED - PERSON -ORGANIZATION <br />o <br />ORANGE COUNTY WORKFORCE INVESTMENT BOARD <br />THE COUNTY OF ORANGE AND THE STATE OF CALIFORNIA <br />a <br />1300 S GRAND AVENUE BLDG E 3RD FLOOR <br />SANTA ANA, CA 92705 <br />m <br />o <br />CITY OF ANAHEIM WORKFORCE DEVELOPMENT <br />ITS OFFICIALS, AGENTS, EMPLOYEES, REPRESENTATIVES AND VOLUv_EERS <br />ra <br />50 SOUTH ANAHEIM BLVD., ST-- 200 <br />c <br />ANAHEIM, CA 92805 <br />0 <br />0 <br />COMMUNITY DEVELOPMENT AGENCY AGENCY M-25 CITY OF SANTA ANA, <br />` <br />ITS OFFICERS, EMPLOYEES, AGENTS AND VOLUNTEERS 20 CIVIC CENTER PLAZA <br />® <br />SANTA ANA, CA 92702 <br />—_ <br />PO BOX 1955 <br />SANTA ANA, CA 92702 <br />SANTA ANA WIA OFFICE <br />PO BOX 1988-M73 <br />� <br />SANTA ANA, CA 92702 <br />L <br />CITY OF SANTA ANA <br />20 CIVIC CENTER PLAZA <br />SANTA ANA, CA 92702 <br />» <br />APPROVED AS TO FORM: <br />CRIS�4LLEY, CITY ATTORNEY <br />;� <br />3Y <br />Form IH 12 00 11 85 T SEQ. NO, 002 Printed In U.S.A. Page 001 / TO i �',•!1 <br />Process Date: 11/30/11 Explratlon Date: 02/12 3,ED AS <br />V <br />U.a COPY App1 <br />= <br />S! ORGK <br />us,E. <br />AttOrO°' <br />CttY <br />assistant <br />