Laserfiche WebLink
AGENCY CUSTOMER ID: <br /> LO C#: <br /> ACC)R" ADDITIONAL REMARKS SCHEDULE Page 2 of 2 <br /> AGENCY NAMED INSURED <br /> Sully-Miller Contracting company <br /> Willis Towers Watson Northeast, Inc. <br /> 135 S. state College Blvd., Suite 400 <br /> POLICY NUMBER Brea, CA 92821 <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 /> The City of Santa Ana, its City Council, officers, officials, employees, agents and volunteers are included as <br /> Additional Insureds as respects to Umbrella/Excess Liability. <br /> Umbrella/Excess Liability policy shall be Primary and Non-Contributory with any other insurance in force for or whiah <br /> may be purchased by Additional Insureds. <br /> Waiver of Subrogation applies in favor of Additional Insureds with respects to Umbrella/Excess Liability. <br /> ACORD 101 (2008/01) ©2008 ACORD CORPORATION. All rights reserved. <br /> The ACORD name and logo are registered marks of ACORD <br /> SR in: 27418627 BATCH: 3870056 CERT: W38104652 <br />