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AGENCY CUSTOMER 10: 00000000 <br />_ LOC #: <br />" ADDITIONAL REMARKS SCHEDULE page ._2 of 2 <br />AGENCY <br />NAMED INSURER <br />Lords Insurance Agency Inc <br />MOB Media Inc. <br />DBAWallgraphic <br />POLICY NUMBER �v <br />NIA <br />CARRIER <br />NAIC COPE <br />Multiple Carriers <br />EPEECTIVE DATE; <br />ADDITIONAL REMARKS <br />THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, <br />FORM NUMBER; 25 FORM TITLE: Certificate of Liabilily 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) clays written notice has been given to the City of Santa Ana, 20 Civic Center Plaza, Santa Ana, California <br />92701. <br />For attached Endorsementl as required by Written Contract <br />ACORD 101 (2008101) © 2008 ACORD CORPORATION. All rights reserved <br />The D name and logo are registered marks of ACORD <br />Printed by TA "r on May 01, 2015 a102:51PM <br />