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AGENCY CUSTOMER ID:JLEEENG-01 YUENG <br /> LOC#: 1 <br /> ACORO ADDITIONAL REMARKS SCHEDULE Page 1 of 1 <br /> AGENCY License#OE67768 NAMED INSURED <br /> IOA Insurance Services JLee Engineering,Inc. <br /> 430 S.Garfield Avenue,#301 <br /> POLICY NUMBER Alhambra,CA 91801 <br /> SEE PAGE 1 <br /> CARRIER NAIC CODE <br /> SEE PAGE 1 SEE P 1 EFFECTIVE DATE:SEE PAGE 1 <br /> ADDITIONAL REMARKS <br /> THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, <br /> FORM NUMBER: ACORD 25 FORM TITLE: Certificate of Liability Insurance <br /> Description of Operations/Locations/Vehicles: <br /> GENERAL LIABILITY ADDITIONAL INSURED INCLUDES THE FOLLOWING PERSON(S) OR ORGANIZATION(S): City of Santa Ana, its <br /> officers, employees, and authorized agents <br /> ACORD 101 (2008/01) ©2008 ACORD CORPORATION. All rights reserved. <br /> The ACORD name and logo are registered marks of ACORD <br />