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AGENCY CUSTOMER ID: <br /> LOC#: <br /> AR o® ADDITIONAL REMARKS SCHEDULE Page 2 of 2 <br /> AGENCY NAMED INSURED <br /> Elecnor Belco Electric, Inc. <br /> Willis Towers Watson Northeast, Inc. 14320 Albers Way <br /> POLICY NUMBER Chino, CA 91710 <br /> See Page 1 <br /> CARRIER NAIC CODE <br /> See Page 1 See Page 1 EFFECTIVE DATE: See Page 1 <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 /> Workers Compensation, as permitted by law. <br /> Excess policy(ies) is excess over the General Liability, Automobile and Employers Liability. <br /> PROJECT NO. 24-6045 - TRAFFIC SIGNAL INSTALLATION AT SEGERSTROM AVENUE AND SPRUCE STREET <br /> Additional Insured entities: the City its officials, officers, employees, agents and volunteers <br /> APPROVED <br /> By Cynthia Mora at 2:02 pm, Dec 03, 2024 <br /> ACORD 101 (2008/01) ©2008 ACORD CORPORATION. All rights reserved. <br /> The ACORD name and logo are registered marks of ACORD <br /> SR ID: 26643328 BATCH: 3679162 CERT: W35958810 <br />