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AGENCY CUSTOMER ID: 00000000 <br />LOC #: <br />AFRO ADDITIONAL REMARKS SCHEDULE Page 2 of 2 <br />AGENCY <br />NAMED INSURED <br />Lords Insurance Agency Inc <br />MOB Media Inc. <br />DBA Wallgraphic <br />POLICY NUMBER <br />NIA <br />CARRIER <br />NAIC CODE <br />Multiple Carriers <br />EFFECTIVE DATE: <br />THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, <br />FORM NUMBER: 25 FORM TITLE: Certificate of Liability Insurance <br />(continued from Description of Operations) <br />company's limits of liability. The inclusion of any person or organization as an insured shall not affect any right which such person or organization <br />would have as a claimant if not so Included. With respect to the additional insureds, this insurance shall not be cancelled, or materially reduced in <br />coverage or limits except after thirty (30) days written notice has been given to the City of Santa Ana, 20 Civic Center Plaza, Santa Ana, California <br />92701. <br />Per attached Endorsement/ as required by Written Contract <br />ACORD 101 (2008/01) © 2008 ACORD CORPORATION. All rights reserved. <br />The ACORD name and logo are registered marks of ACORD <br />Printed by TAT on April 06, 2015 at 04:57PM <br />L'IJ 4, <br />Z% <br />