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AGENCY CUSTOMER ID: HDLCOMP-01 <br />LOG #: <br />ADDITIONAL REMARKS SCHEDULE Page 1 of 1 <br />AGENCY <br />Woodruff Sawyer <br />NAMEDINSURED <br />Hinderliter de Llamas & Associates <br />HdL Software, LLC <br />dba HdL Companies <br />120 S. State College Blvd, Suite 200 <br />POLICY NUMBER <br />Brea CA 921121 <br />CARRIER <br />NAIC CODE <br />EFFECTIVE DATE: <br />THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, <br />FORM NUMBER: 25 FORM TITLE: CERTIFICATE OF LIABILITY INSURANCE <br />Re: Project Number: A-2021-013. City of Santa Ana, officers, employees, agents, volunteers and representatives are included as additional insured as respects <br />General Liability to the extent provided in the attached form. Waiver of Subrogation applies as respects General Liability to the extent provided in the attached <br />form and as permitted by law. <br />101 (2008101) <br />© 2008 ACORD <br />The ACORD name and logo are registered marks of ACORD <br />reserved. <br />