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AGENCY CUSTOMER ID: PROJKIN-01 LBOSSHART <br /> LOC#: 1 <br /> ACORO ADDITIONAL REMARKS SCHEDULE <br /> Page 1 of 1 <br /> AGENCY License#OM10410 NAMED INSURED <br /> rmstron /Robitaille/Rie le Business and Insurance Solutions Pro1'ect Kinship <br /> g g 1833E 17th Street <br /> POLICY NUMBER Santa Ana,CA 92705 <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 /> Excess Auto Liability Policy(1st Layer Excess): <br /> Policy No: UX000001021-02 <br /> Carrier: Admiral Insurance Company <br /> Policy Term: 7/1/2025 to 7/1/2026 <br /> Limit Per Occurrence: $2,000,000 <br /> General Aggregate: $2,0003000 <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 (2008/01) ©2008 ACORD CORPORATION. All rights reserved. <br /> The ACORD name and logo are registered marks of ACORD <br />