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Declarations: <br />Business Liability Coverage Part <br />CONTINUED <br />Form: SC 00 01 10 18 9 <br />ADDITIONAL INSUREDS SCHEDULES <br />Form Number Form Name Additional Insured Name <br />and Address Location <br />SL 30 36 10 18 ADDITIONAL INSURED - OWNERS, <br />LESSEES OR CONTRACTORS - <br />COMPLETED OPERATIONS <br />City of Monterey <br />735 PACIFIC ST STE A, <br />MONTEREY, CA 93940-2818 <br />LOC 001 BLDG 001 <br />SL 30 42 10 18 ADDITIONAL INSURED - <br />DESIGNATED PERSON OR <br />ORGANIZATION <br />City of Thousand Oaks its officers, <br />officials, employees and volunteers <br />2100 E THOUSAND OAKS BLVD, <br />THOUSAND OAKS, CA 91362 <br />N/A <br />City of Pleasanton <br />200 OLD BERNAL AVE, <br />PLEASANTON, CA 94566 <br />N/A <br />CITY OF SAN BUENAVENTURA <br />501 POLI ST RM 107, VENTURA, <br />CA 93001-2632 <br />N/A <br />City of Fresno <br />2600 FRESNO ST, FRESNO, CA <br />93721 <br />N/A <br />Office of The City Clerk <br />350 MAIN ST, EL SEGUNDO, CA <br />90245-3895 <br />N/A <br />COUNTY OF SNOHOMISH <br />3000 ROCKEFELLER AVENUE, <br />EVERETT, WA 98201 <br />N/A <br />CITY OF SAN MARCOS <br />1 CIVIC CENTER DRIVE, SAN <br />MARCOS, CA 92069 <br />N/A <br />CITY OF ALHAMBRA <br />111 S 1ST ST, ALHAMBRA, CA <br />91801-0511 <br />N/A <br />CITY OF BURIEN <br />400 SW 152ND ST, SUITE 300, <br />SEATTLE, WA 98166 <br />N/A <br />CITY OF LA MIRADA <br />13700 LA MIRADA BOULEVARD, <br />LA MIRADA, CA 90638 <br />N/A <br />CITY OF HEMET <br />445 E FLORIDA AVE, HEMET, CA <br />92543-4209 <br />N/A <br />PIERCE COUNTY <br />950 FAWCETT AVE APT/SUITE <br />SUITE 300, TACOMA, WA 98402 <br />N/A <br />Docusign Envelope ID: 4B3DD47E-7332-8163-807C-64B627C64358