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AGENCY CUSTOMER ID: PROJKIN-01 RENAS <br /> LOC#: 1 <br /> ACURLY <br /> ADDITIONAL REMARKS SCHEDULE Page 1 of I <br /> AGENCY License#OM10410 NAMED INSURED <br /> rmstrong/Robitaille/Riegle Business and Insurance Solutions 1833Proj E Kinship Stp <br /> 833 17t Street <br /> POLICY NUMBER Santa Ana,CA 92705 <br /> EE PAGE 1 <br /> CARRIER NAIC CODE <br /> EE PAGE 1 SEE P 1 EFFECTIVE DATE;SEE PAGE <br /> ADDITIONAL REMARKS <br /> THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, <br /> FORM NUMBER: ACORD 25 FORM TITLE: Certificate of Llablifty Insurance <br /> Description of OperationslLocationsNehicles: <br /> Excess Auto Liability Policy(1 st Layer Excess): <br /> Policy No: UX000001021-01 <br /> Carrier: Admiral Insurance Company <br /> Policy Term: 8/1/2024 to 8/112025 <br /> Limit Per Occurrence: $2,000,000 <br /> General Aggregate: $2,000,000 <br /> Name: Project Kinship Youth Photo Project,Youth Leadership Academy <br /> Locations: <br /> 3155 Justice Center Way,Orange, CA 92868 <br /> 1833 E 17th Street,Santa Ana,CA,92706 <br /> The City of Santa Ana, its officers,officials,employees,and volunteers are included as additional insured as required by written <br /> contract and per the attached forms.Primary and non-contributory as required by written contract and per the attached forms. <br /> Waiver of subrogation applies to General Liability as required by written contract and per the attached forms, <br /> ACORD 101 (2008101) ©2008 ACORD CORPORATION. All rights reserved. <br /> The ACORD name and logo are registered marks of ACORD <br />