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AGENCY CUSTOMER ID: PERETEC-01 CLAMONT <br /> LOC#: 1 <br /> .4 O. ADDITIONAL REMARKS SCHEDULE Page 1 of 1 <br /> AGENCY NAMED INSURED <br /> Kore Insurance Holdings, LLC Peregrine Technologies,Inc. <br /> 71 Stevenson St <br /> POLICY NUMBER Ste 700 <br /> San Francisco,CA 94105 <br /> EE PAGE 1 San Francisco <br /> CARRIER NAIC CODE <br /> EE 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 /> and volunteers for losses paid under the terms of Company's CGL,AL, CL, E&O,and WC policies which arise from work performed <br /> by Company under this Agreement. <br /> —30-day notice of cancellation applies. <br /> Cyber/Tech E&O:The policy provides blanket waiver of subrogation where the Insured Entity has already contractually waived its <br /> own recovery rights against a third party before the act/incident that triggered the claim.The City of Santa Ana is listed as an <br /> additional insured under this policy so benefits from this same blanket waiver. <br /> ACORD 101 (2008/01) ©2008 ACORD CORPORATION. All rights reserved. <br /> The ACORD name and logo are registered marks of ACORD <br />