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AGENCY CUSTOMER ID: ECORCON-01 <br /> LOC#: <br /> ,a`oRo ADDITIONAL REMARKS SCHEDULE Page 1 of 1 <br /> AGENCY NAMED INSURED <br /> Sequel Insurance Services, Inc. ECORP Consulting, Inc. <br /> 2525 Warren Dr <br /> POLICY NUMBER Rocklin CA 95677-2167 <br /> CARRIER NAIC CODE <br /> EFFECTIVE DATE: <br /> ADDITIONAL REMARKS <br /> THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, <br /> FORM NUMBER: 25 FORM TITLE: CERTIFICATE OF LIABILITY INSURANCE <br /> Re: Evidence of Insurance <br /> The City of Santa Ana, its officers,officials,employees,and volunteers are General Liability Additional Insureds per terms and conditions of the attached <br /> endorsement(s). Primary Wording for General Liability applies per terms and conditions of the attached endorsement. General Liability Waiver of Subrogation <br /> applies per terms and conditions of the attached endorsement.Auto Liability Additional Insured applies per terms and conditions of the attached endorsement. <br /> Primary Wording for Auto Liability applies per terms and conditions of the attached endorsement.Auto Liability Waiver of Subrogation applies per terms and <br /> conditions of the attached endorsement.Workers Compensation Waiver of Subrogation applies per terms and conditions of the attached endorsement. <br /> ACORD 101 (2008/01) ©2008 ACORD CORPORATION. All rights reserved. <br /> The ACORD name and logo are registered marks of ACORD <br />