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POLICY NUMBER INSURED NAME AND ADDRESS <br />3 601'..4.i35K ,C_, T:7 -." YOGA n iEA-LTH <br />:.0(i7.n 447ZN ROVE E..17T: <br />'IAQDE`;;R07E, CA 92844 <br />ADDITIONAL INTEREST S=DULE <br />LOCATION 1 BUILDING 1. <br />The oilowing has been added to your policy effective 01/21,2CI6 <br />Type: Designated Pe::son or Organization. <br />Additional Interest Name and Address: <br />CITY OF SNATA ANA, HS OFFICERS, EMPLOYEES, AGENTS <br />20 CIVIC CENTER PLAZA - M-23 <br />SANTA AAA , CA 9270 L <br />LOCATION 2 BUILDING <br />Tne Eollowtng has been adders to your poFicy effective 04/21/2016 <br />Type: Designated Person or Organization <br />Additional Interest Name and Address: <br />CITY OF S':J:^-.'_A AN& ITS OFFICERS, EMPLOYEES, AGENTS <br />20 CIVIC CENTER PLAZA - M-23 <br />SANTA ANA , CA 92701 <br />C sAcosta <br />������scre�tian <br />1CI, j% OL 3 <br />