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--l"o AGENCY CUSTOMER V. <br /> ACC>R& we#: <br /> ADDITIONAL REMARKS SCHEDULE Page 1 at 1 <br /> AGENCY MAMIE)Msl1RE6 <br /> FEDERATED MUTUAL INSURANCE COMPANY VERNES PLUMBING INC <br /> 8561 WHITAKERR ST <br /> POLICY NUMBER BUENA PARK,CA 90621-W29 <br /> SEE CERTIFICATE#18.11 <br /> CARRIER Rrus eooe EFFECnvE DATE:SEE CERTIFICATE##18.11 <br /> SEE CERTIFICATE#18,11 <br /> ADDITIONAL REMARKS <br /> THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, <br /> FORM NUMBER: 25 FORM TITLE: _CERTIFICATE OF JAAI ILITY INSURANCE <br /> PURCHASE ORDER CONTRACT #6461 <br /> BLANKET ORDER CONTRACT FOR PLUMBING SERVICES FOR THE CITY OF SANTA ANA ON AN AS-NEEDED BASIS CONTRACT TERM <br /> SUBJECT TO THE TERMS AND CONDITIONS OF THE POLICY, ADDITIONAL INSUREDS ALSO INCLUDES THE CITY OF SANTA ANA, ITS <br /> CITY COUNCIL, OFFICERS, OFFICIALS, EMPLOYEES, AGENTS, AND VOLUNTEERS. <br /> SUBJECT TO THE TERMS AND CONDITIONS OF THE POLICY, WAIVER OF SUBROGATION ALSO INCLUDES THE CITY OF SANTA ANA, ITS <br /> CITY COUNCIL, OFFICERS, OFFICIALS, EMPLOYEES, AGENTS, AND VOLUNTEERS. <br /> THE CERTIFICATE HOLDER IS AN ADDITIONAL INSURED ON GENERAL LIABILITY SUBJECT TO THE CONDITIONS OF THE ADDITIONAL <br /> INSURED - OWNERS( LESSEES, OR CONTRACTORS - SCHEDULED PERSON OR ORGANIZATION ENDORSEMENT. <br /> THE CERTIFICATE HOLDER IS AN ADDITIONAL INSURED ON GENERAL LIABILITY SUBJECT TO THE CONOITIONS OF THE ADDITIONAL <br /> INSURED - OWNERS, LESSEES, OR CONTRACTORS - COMPLETED OPERATIONS ENDORSEMENT. <br /> THE CERTIFICATE HOLDER IS AN ADDITIONAL INSURED SUBJECT TO THE CONDITIONS OF THE ADDITIONAL INSURED BY CONTRACT <br /> ENDORSEMENT FOR BUSINESS AUTO LIABILITY. <br /> INSURANCE PROVIDED BY THE GENERAL LIABILITY COVERAGE IS PRIMARY AND NONCONTRIBUTORY OVER OTHER INSURANCE SUBJECT TO <br /> THE CONDITIONS OF THE PRIMARY AND NONCONTRIBUTORY CLAUSE- OTHER INSURANCE CONDITION. <br /> INSURANCE PROVIDED BY THE BUSINESS AUTO LIABILITY IS PRIMARY AND NONCONTRIBUTORY OVER OTHER INSURANCE SUBJECT TO <br /> THE CONDITION OF THE PRIMARY AND NONCONTRIBUTORY CLAUSE- OTHER INSURANCE CONDITION. <br /> GENERAL LIABILITY CONTAINS A WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US (WAIVER OF SUBROGATION) <br /> - AUTOMATIC ENDORSEMENT <br /> BUSINESS AUTO LIABILITY CONTAINS A WAIVER OF SUBROGATION IN FAVOR OF THE CERTIFICATE HOLDER SUBJECT TO THE <br /> CONDITIONS OF THE BLANKET WAIVER OF TRANSFER OF RIGHTS OF RECOVERY ENDORSEMENT. <br /> FOR REASONS OTHER THAN NON-PAYMENT OF PREMIiIt, 36 DAYS NOTICE WILL BE PROVIDED TO THE CERTIFICATE-HOLDER IN THE <br /> EVENT THAT THE ISSUING COMPANY CANCELS THE POLICY BEFORE THE EXPIRATION DATE OF THE POLICY. <br /> ACORD 101(2008101) 0 21308 ACORD CORPORATION.All ri"reserved <br /> The ACORD,name and logo are registered marks of ACORD <br />