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AGENCY CUSTOMER ID: 416075 <br />LOC#: <br />Ac"RL> <br />16.�, ADDITIONAL REMARKS SCHEDULE <br />Page_2_of 2 <br />AGENCY <br />NAMED INSURED <br />Fieldturf USA, Inc. <br />Willis of Pennsylvania, Inc. <br />7445 Cote-de-Liesse Road, Suite 200 <br />Montreal, QC H4T 1G2 <br />Canada <br />POLICY NUMBER <br />See First Page <br />CARRIER <br />NAIC CODE <br />=, <br />See First Page <br />EFFECTIVEDATE: See First Page <br />ADDITIONAL REMARKS <br />THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, <br />FORM NUMBER: 25 FORM TITLE: CERTIFICATE OF LIABILITY INSURANCE <br />The City of Santa Ana, a charter cit and municipal corporation organized and existing under the <br />Constitution and laws of the State of California (hereinafter "City"), its officers, employees, <br />agents, volunteers and representatives are included as Additional Insureds on the General Liability <br />policy, as respects to the liability arising out of ongoing and completed operations performed on <br />the pro ect specified in the construction contract for the period of time required within the <br />contrac . <br />It is further agreed that such insurance as is afforded shall be Primary and Non-contributory with <br />any other insurance in force for or which may beurchased by the City, where required by written <br />contract executed prior to loss and permitted by Yaw. <br />FZEVEWER _B'(-_1 EUNICE HEREMA (PG-),�,T <br />AL;UHU 1U1 (2UUt3/U1) U011:411922bl Tp1:2Ub19b1 Cert:24:368464 (0 2008 ACORD CORPORATION. All rights reserved. <br />The ACORD name and logo are registered marks of ACORD <br />