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Second Page of Certificate <br />Certificate # <br />3'14/4 <br />OTHER ADDITIONAL INSUREDS: <br />1 <br />County of San Joaquin, 222 E. Weber #707, Stockton, CA 95207 <br />2 <br />Sandal & Co., 265 Lincoln Center, Stockton, CA 95207 <br />3 <br />Anthony Vice, Fleet Feet, Lincoln Center, Stockton, CA 95207 <br />4 <br />m15 LLC, P.O. Box 266, Acampo, CA 95220 <br />5 <br />Michael Dillman, 1210 N Mauley Rd, Ripon, CA <br />6 <br />Not Forgotten Inc, POB 480, Ripon, CA <br />City of an Ramon, 7000 Bollinger Canyon Road, San Ramon, CA 94583; Twisted Oak, 4280 Red Hill Road, Vallecito, CA, River Islands, <br />Lathrop, CA 95330, Bear Valley Homeowners Lake, Bear Valley, CA 95223 <br />8 <br />Jeff & Mary Stai, 4280 Red Hill Road, Vallecito, CA 95251 <br />9 <br />Betty Cousins DBA As I Can Foundation, 1790 Cornwell Street, Lathrop, CA 95330 <br />10 <br />11 <br />12 <br />13 <br />CANCELLATION: Should the above described policy(s) be canceled before the expiration date thereof, the issuing company will endeavor to mail 30 days tuotten notice to the insured event <br />holder and additional insureds listed. <br />AUTHORIZED REPRESENTATIVE: <br />�y f / <br />DATE ISSUED: <br />4/4/2023 <br />