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AGENCY CUSTOMER ID: 00001603 <br />LOC #: <br />A ADDITIONAL REMARKS SCHEDULE <br />Page 2 of <br />AGENCY <br />NAMED INSURED <br />Wright, Finnegan & Carter Insurance Associates <br />Stephen Doreck Equipment Rentals, Inc. <br />DBA Doreck Construction <br />POLICY NUMBER <br />N/A <br />CARRIER <br />NAIL CODE <br />Multiple Carriers <br />EFFECTIVE DATE: <br />THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, <br />FORM NUMBER: 26 FORM TITLE: Certificate of Liability Insurance <br />CITY OF SANTA ANA IS ADDITIONAL INSURED & PRIMARY WORDING APPLIES PER THE BLANKET ADDITIONAL INSURED ENDORSEMENT ATTACHED TO <br />POLICY -AS REQUIRED BY WRITTEN CONTRACT. WAIVER OF SUBROGATION APPLIES TO GENERAL LIABILITY & WORKERS COMPENSATION. <br />ACORD 101 (2008101) © 2008 ACORD <br />The ACORD name and logo are registered marks of ACORD <br />Printer <br />Risk MwgemmtDWvn <br />REVIEWED&APPROV®BY: <br />A�•y:r Auvnlo <br />Risk Management Specialist <br />