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AGENCY CUSTOMER ID: <br /> LOC#: <br /> r ryr• <br /> ADDITIONAL REMARKS SCHEDULE Page 2 of 2 <br /> AGENCY NAMED INSURED <br /> SPECIALTY PROGRAM GROUP LLC/PHS CALIFORNIA SCIENCE AND TECHNOLOGY UNIVERSITY <br /> POLICY NUMBER 1601 MCCARTHY BLVD <br /> SEE ACORD 25 MILPITAS CA 95035-7401 <br /> CARRIER NAIC CODE <br /> SEE ACORD 25 <br /> EFFECTIVE DATE:SEE ACORD 25 <br /> ADDITIONAL REMARKS <br /> THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM <br /> FORM NUMBER: ACORD 25 FORM TITLE: CERTIFICATE OF LIABILITY INSURANCE <br /> Waiver of Subrogation applies in favor of City of Santa Ana, its City Council, officers, officials, employees, agents, and <br /> volunteers per Waiver of Subrogation Form SL 30 03, attached to this policy. Coverage is provided for all operations of the <br /> named insured per the Business Liability Coverage Form SL 00 00, attached to this policy. City of Santa Ana, its City Council, <br /> officers, officials, employees, agents, and volunteers an additional insured per the Additional Insured - Designated Person Or <br /> Organization Form SL3042 attached to this policy. <br /> ACORD 101 (2014/01) ©2014 ACORD CORPORATION.All rights reserved. <br /> The ACORD name and logo are registered marks of ACORD <br />