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FAUMII <br />1 <br />ACORO' <br />AGENCY CUSTOMER ID: HELIENV-01 <br />LOC #: 1 <br />ADDITIONAL REMARKS SCHEDULE <br />Page 1 of 1 <br />AGENCY <br />Assured Partners of CA Insurance Services, LLC dba: Wateridge Insurance Services <br />NAMED INSURED <br />Helix Environmental Planning, Inc. <br />7578 El Cajon Blvd., Suite 200 <br />La Mesa, CA 91942 <br />POLICY NUMBER <br />EEPAGE1 <br />CARRIER <br />NAIC CODE <br />EE PAGE 1 <br />SEE P 1 <br />EFFECTIVE DATE: SEE PAGE 1 <br />THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, <br />FORM NUMBER: ACORD 25 FORM TITLE: Certificate of Liability Insurance <br />Description of Operations/Locations/Vehicles: <br />City of Santa Ana is named Additional Insured with respects to General Liability per attached. Coverage is Primary and <br />Non -Contributory. General Liability Waiver of Subrogation applies. <br />ACORD 101 (2008/01) © 2008 ACORD C( <br />9 ... <br />y we iF.Lg � <br />Riele MwugrnwttDMsion <br />IiEVIEWEO&APPRDV®BV: <br />`m' <br />Risk Management Specialist <br />OF <br />The ACORD name and logo are registered marks of ACORD <br />