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AGENCY CUSTOMER ID: ORANCOU-05 <br />101431 <br />ACOR" <br />Ilk.� <br />ADDITIONAL REMARKS SCHEDULE <br />Page 1 of 1 <br />AGENCY <br />(OC) Heffernan Insurance Brokers <br />NAMED INSURED <br />Orange County's United Way <br />18012 Mitchell South <br />Irvine CA 92614-6008 <br />POLICY NUMBER <br />CARRIER <br />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: As Per Contract or Agreement on File with the Insured. City of Santa Ana, its City Council, officers, officials, employees, agents, representatives and <br />volunteers are included as an additional insured (primary and non -Contributory) on General Liability policy per the attached endorsements, if required and <br />additional insured on Automobile Liability and Sexual Abuse and Molestation policies, if required. Cancellation notice endorsement for the General Liability policy <br />is attached, if required. This Certificate replaces and supersedes all previously issued certificates. <br />ACORD 101 (2008/01) © 2008 ACORD CORPORATION. All rights reserved. <br />The ACORD name and logo are registered marks of ACORD <br />