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AGENCY CUSTOMER ID: <br />LOC #: <br />,aco ADDITIONAL REMARKS SCHEDULE <br />AGENCY NAMED INSURED <br />Willis Towers Watson Northeast, Inc. Fieldtur£ USA Inc <br />c/o Sports Division <br />POLICY NUMBER Tarkett Inc. <br />See Page 1 7445 Cote-de-Liesse Road, Suite 200 <br />Montreal, QC H4T 1G2 CAN <br />CARRIER <br />See Page 1 <br />ADDITIONAL REMARKS <br />NAIC CODE <br />See Page 1 EFFECTIVE DATE: See Page 1 <br />THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, <br />FORM NUMBER: 25 FORM TITLE: Certificate of Liability Insurance <br />Project: City of Santa Ana - Multi -Year Maintenance Contract (7 Sites) <br />Agreement: (018); Artificial Turf Sports Field Maintenance. <br />Page 2 Of 2 <br />The City, its officers, officials, employees, and volunteers are included as Additional Insureds on the General <br />Liability policy, as respects to the liability arising out of ongoing and completed operations performed on the projec <br />specified in the construction contract for the period of time required within the contract. <br />It is further agreed that such insurance as is afforded shall be Primary and Non-contributory with any other insurance <br />in force for or which may be purchased by the Additional Insureds, where required by written contract executed prior t <br />loss and permitted by law. <br />Waiver of Subrogation applies in favor of The City with respects to General Liability, Automobile Liability and Workers <br />Compensation coverage where required by written contract subject to policy terms and conditions and as permitted by <br />law. <br />INSURER AFFORDING COVERAGE: Steadfast Insurance Company <br />POLICY NUMBER: EOC 5632944-02 EFF DATE: 02/15/2024 EXP DATE: 02/15/2025 <br />TYPE OF INSURANCE: LIMIT DESCRIPTION: LIMIT AMOUNT: <br />Professional Liability Aggregate $1,000,000 <br />Per Claim $1,000,000 <br />SIR $250,000 <br />ACORD 101 (2008/01) © 2008 ACORD I <br />The ACORD name and logo are registered marks of ACORD <br />SR ID:26046662 BATCH:3510485 CERT: W33940876 <br />NAIC#: 26387 <br />oR, Risk MougmumtDMsian <br />REVIEWED & APPROVED BY: <br />o � <br />A AaN44 <br />Risk Management Specialist <br />