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AGENCY CUSTOMER ID_ <br />LOG# : <br />A� ADDITIONAL REMARKS SCHEDULE <br />Page 2 of 2 <br />AGENCY <br />NAMED INSURED -- <br />MCGRIFF INSURANCE SERVICES INC/PHS <br />THE ACCOUNTING ANNEX, INC. <br />41 E FOOTHILL BLVD STE 201 <br />POLICY NUMBER <br />SEE ACORD 25 <br />ARCADIA CA 91006-2361 <br />CARRIER <br />NAIC CODE <br />SEE ACORD 25 <br />EPPEcnvEDAn=:SEE ACORD 25 <br />THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM <br />FORM NUMBER: ACORD 25 FORM TITLE: CERTIFICATE OF LIABILITY INSURANCE <br />The City of Santa Ana, its officers, officials, employees, andvolunteersare to be covered as additional insureds on the CGL <br />policy with respect to liability arising out of work or operations performed by or on behalf of the Contractor including materials, <br />parts, or equipment furnished in connection with such work or operations. General liability coverage can be provided in the form <br />of an endorsement to the Vendor/Contractor's insurance. Notice of Cancellation will be provided in accordance with Form <br />S51223, attached to this policy. <br />ACORD 101 2014101) ©2014 ACORD CORPORAI R1wEo&gemenEDoey- <br />° RtvlEwEo&APPROYm Bv: <br />The ACORD name and logo are registered marks ofACORD , n <br />��' Risk Management Specialist <br />