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AGENCY CUSTOMER ID:Z&KCONS-01 GLADYSCARRILLO LOC#: 1 ACORO ADDITIONAL REMARKS SCHEDULE Page 1 of 1 AGENCY NAMED INSURED NFP Property&Casualty Services Inc. 2 2 K Consultants,Inc. p Y Y � 22295 Jessamine Way POLICY NUMBER Corona,CA 92883 SEE PAGE 1 CARRIER NAIC CODE SEE PAGE 1 SEE P 1 EFFECTIVE DATE:SEE PAGE 1 ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: ACORD 25 FORM TITLE: Certificate of Liability Insurance Description of Operations/Locations/Vehicles: insurance is primary and non-contributory with any other insurance of the additional insured,so long as a written contract or agreement to such exists prior to a loss, per endorsements CG D3 79 02 19 and/or CG D3 81 09 15 attached. A waiver of subrogation in favor of the certificate holder applies with respect to general liability coverage, per endorsement CG D3 81 09 15 attached.General liability per-project aggregate applies per endorsement CG D4 02 06 19 attached. Umbrella liability underlying policies include General Liability, Employers Liability&Automobile Liability per schedule EU 00 03 08 18 attached. Excess E&O/Professional Liability Policy P0000009250 is excess over FRL-H-P-PL-00003201-02. Certificate holder is additional insured with respect to automobile liability so long as a written contract or agreement to such exists with the named insured prior to a loss, per endorsement CA T4 20 02 15 attached.A waiver of subrogation in favor of the certificate holder applies with respect to automobile liability coverage, per endorsement CA T4 20 02 15 attached. A waiver of subrogation in favor of the certificate holder applies with respect to workers' compensation coverage, per endorsement WC 99 03 76(A)-001 attached. Re: Department Name: Staff Responsible I Department Address: M-XX, Santa Ana, CA 92701 City of Santa Ana, its City Council, officers,officials, employees, agents, and volunteers are Additional Insureds with respect to Automobile Liability so long as a written contract or agreement to such exists with the named insured prior to a loss, per endorsement CA T4 20 02 15 attached. City of Santa Ana, its City Council, officers, officials, employees, agents, and volunteers are named Additional insureds as respects to Professional Liability so long as a written contract or agreement to such exists with the named insured prior to a loss, per attached endorsement PR AMD 96002 MU 05 23. ACORD 101 (2008/01) ©2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD