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AGENCY CUSTOMER ID: <br /> LOC#: <br /> ADDITIONAL REMARKS SCHEDULE Page 2 of 2 <br /> AGENCY NAMED INSURED <br /> PAYCHEX INSURANCE AGENCY INC HYDROAPPS LLC <br /> POLICY NUMBER PO BOX 31894 <br /> SEE ACORD 25 SAINT LOUIS MO 63131-0894 <br /> CARRIER NAIL CODE <br /> SEE ACORD 25 <br /> EFFECTIVE DATE:SEE ACORD 255 <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 /> Waiver of Subrogation applies in favor of the Certificate Holder per the Business Liability Coverage Form SL 00 00, attached to <br /> this policy. City of Santa Ana, its City Council, officers, officials, employees, agents, and volunteers are additional insured per <br /> the Additional Insured -Designated Person Or Organization Form SL3042. <br /> I <br /> ACORD 101 (2014/01) ©2014 ACORD CORPORATION.All rights reserved. <br /> The ACORD name and logo are registered marks of ACORD <br />