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AGENCY CUSTOMER ID: CALIFORPRO <br />LOC #: 1 <br />CARLOSD <br />ACORO <br />ADDITIONAL REMARKS SCHEDULE <br />Page 1 of 1 <br />AGENCY <br />United Agencies <br />License # 0262636 <br />NAMED INSURED <br />1California Jose A enueEngineering Inc. <br />La Puente, CA 91748 <br />POLICY NUMBER <br />EE PAGE 1 <br />CARRIER <br />EE PAGE 1 <br />NAIC CODE <br />SEE P 1 <br />EFFECTIVE DATE: SEE PAGE 1 <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/LocationsNehicles: <br />"With resepect to the additional insureds (the City of Santa Ana, its officers, employees, agents, and volunteers), this insurance shall <br />not be cancelled, or materially reduced in coverage or limits except after thirty (30) days written notice has been given to the City of <br />Santa Ana, Public Works Agency, 20 Civic Center Plaza, Ross Annex, M-93, Santa Ana, CA 92701. <br />ACORD 101 (2008/01) © 2008 ACORD CO <br />The ACORD name and logo are registered marks of ACORD <br />HORaN RiskMmagementDivisian <br />REVIEWED & APPROVED BY.- <br />-A <br />} z <br />Risk Management Analyst <br />