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AGENCY CUSTOMER It]:PROJKIN-01 LBOSSHART <br /> LOC#: 1 <br /> AICOR1319 <br /> �.s ADDITIONAL REMARKS SCHEDULE Page 1 of 1 <br /> AGENCY LICense#OM10410 NAMED INSURED <br /> rmstrong/Robitaille/Riegle Business and Insurance Solutions Pro ect Kinship <br /> 1833 E 17th Street <br /> POLICY NUMBER Santa Ana,CA 92706 <br /> SEE PAGE 1 <br /> CARRIER NAIC CODE <br /> EE PAGE 1 ISEE P 1 EFFECTIVE OATS:S PAGE <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/LocationsNehicies: <br /> Excess Auto Liability Policy(1st Layer Excess): <br /> Policy No: UX000001021-02 <br /> Carrier: Admiral Insurance Company <br /> Policy Term: 711/2026 to 7/1/2026 <br /> Limit Per Occurrence: $2,000,000 <br /> General Aggregate: $2,000,000 <br /> Cyber Liability Policy: <br /> Policy No: 26-110014877 <br /> Carrier: AXIS Surplus Insurance Company <br /> Policy Term: 7/112025 to 7/112026 <br /> Limit Per Incident: $1,000,000 <br /> General Aggregate: $1,000,000 <br /> City of Santa Ana, its City Council, its officers,officials,employees,agents,and volunteers are included as additional insured with <br /> respects General Liability coverage per the attached forms. Waiver of Subrogation and Primary&Non-Constributory coverage <br /> applies to the General Liability policy per the attached farms.30 days notice of cancellation with the exception of 10 days for <br /> non-payment of premium. <br /> ACORD 101 (2008101) ©2008 ACORD CORPORATION. All rights reserved. <br /> The ACORD name and logo are registered marks of ACORD <br />