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AGENCY CUSTOMER ID:VERDALL-01 KMCGUFFIN LOC#: 1 '4 00 ADDITIONAL REMARKS SCHEDULE Page 1 of 1 AGENCY NAMED INSURED Leighton Consulting,Inc. mes&Gough Verdantas Inc. 2600 Michelson Dr.Ste.400 POLICY NUMBER Irvine,CA 92612 EE PAGE 1 CARRIER NAIC CODE ,SEE PAGE 1 SEE P 1 EFFECTIVE DATE:ra E 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/LocationsfVehicles: The City of Santa Ana, its officers,officials,employees,and volunteers are included as additional insured with respect to General Liability,Automobile Liability and Excess Liability when required by written contract.General Liability includes Additional Insured coverage for On-Going&Completed Operations as required by written contract.General Liability,Automobile Liability and Excess Liability are primary and non-contributory over any existing insurance and limited to liability arising out of the operations of the named insured-and when required by written contract.General Liability,Automobile Liability,Excess Liability and Workers Compensation policies include a waiver of subrogation in favor of the additional insured where permissible by state law and when required by written contract.30-day Notice of Cancellation will be issued on the General Liability,Automobile Liability,Workers Compensation and Professional Liability policies in accordance with policy terms and conditions. i I ACORD 101 (2008/01) ©2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD