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AGENCY CUSTOMER ID: MCGRARENI <br />LOC #: <br />AC R ® ADDITIONAL REMARKS SCHEDULE Page of <br />AGENCY <br />NAMEDINSURED <br />SulllvanCurtisMonroe Insurance Services ) Pasadena <br />( <br />McGrath RentCorp <br />DBA: Mobile Modular Management Corporation <br />5700 Las Positas Road <br />Livermore CA 94551 <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 (03/16) <br />HOLDER: City of Santa Ana See addendum for complete holder <br />ADDRESS: 20 Civic Center Plaza Santa Ana CA 92701 <br />Certificate Holder: <br />City of Santa Ana <br />Department Responsible for Agreement / Department Working with Vendor <br />Attn: Risk Management Dept. <br />20 Civic Center Plaza <br />Santa Ana CA 92701 <br />APPROVED <br />By Cynthia Mora at 4:54 pm, Dec 02, 2024' <br />ACORD 101 (2008101) © 2008 ACORD CORPORATION. All rights reserved. <br />The ACORD name and logo are registered marks or Aconu Nuuo�uv�n <br />82707195 1 MCOAARENI 1 2024-25 GLI/XLS/CPP/CAU/WC0 I Maheeh Mylaxappa 1 11/12/2024 4:52:29 PM (PST) I Page 4 of 16 <br />