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AGENCY CUSTOMER ID: QUINNGROUP
<br />LOC #:
<br />ACoRE) ADDITIONAL REMARKS SCHEDULE Page 1 of 1
<br />AGENCY
<br />NAMEOINSURED
<br />Marsh McLennan Agency
<br />Quinn Group, Inc.
<br />Quinn Company
<br />10006 Rose Hills Road
<br />POLICY NUMBER
<br />City of Industry CA 90601
<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 />Vestchester Surplus Lines Insurance Company (10172) policy G72563256004 (02/01/2025-02/0112026) with an Occurrence/Aggregate Limit of $5,000,000 is
<br />xcess over policies P00100048777805 and JTI25XAUT0142804. HDI Specialty Insurance Company (16131) policy XLXD6875900S (21112025-21112026) with
<br />n Occurrence/Aggregate Limit of $5,000,000 is excess over policy G72563256004
<br />;eneral Liability (for ongoing and completed operations via forms UGL2162ACW0219) and Auto Liability (per CA20481013) Additional Insured Status is granted
<br />a City of Santa Ana, it's City Council, officers, officials, employees, and volunteers if required by a written, signed, and dated contract, agreement, or permit. All
<br />overage is subject to the terms, conditions and exclusions contained in the policy form and endorsements.
<br />:ity of Santa Ana, it's City Council, officers, officials, employees, and volunteers as required by written contract are named additional insured on a primary and
<br />on contributory basis per forms UCA424FCW0414 and UGL1477CCW0320, Waiver of Subrogation is granted to City of Santa Ana, it's City Council, officers,
<br />fficials, employees, and volunteers pursuant to written contract per forms WC040306484, CG24040509, and CA04441013. In the event of a cancellation (for
<br />ny reason other than nonpayment of premium), 30 days notice will be sent to CERTIFICATE HOLDER per forms UGL1521 BCW01 19, UCA832ACW0113, and
<br />VC9906430113. Cancellation provision shown is subject to shorter or longer time periods depending on the jurisdiction of, and the reason for, the cancellation.
<br />iaragekeepers Legal Liability is included under the Zurich Commercial Auto policy with a $500,000 Comprehensive limit ($500 Ded. Each Customer's
<br />,uto/$2,500 Max Any One Event) and $500,000 Collision limit ($500 Ded. Each Customer's Auto) that applies to all locations.
<br />ontinued Named Insureds (General Liability and Auto Liability): Quinn Group, Inc., Quinn Company, Quinn Company dba Quinn Used Parts, Quinn Company
<br />ba Quinn Power Systems, Quinn Lift, Inc., Quinn Rental Services, Quinn Commercial, Inc., Q4G Properties LP, Alta Lift, Inc., Quinn Commercial, Inc.
<br />ontinued Named Insureds (Workers Compensation Policy): Quinn Group, Inc„ Quinn Company, Quinn Lift, Inc., Quinn Rental Services
<br />ACORD 101 (2008101) © 2008 ACORD CORPORATION. All rights reserved.
<br />The ACORD name and logo are registered marks of ACORD
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