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ACORV <br />lh.� <br />AGENCY CUSTOMER ID: COMMACT-20 <br />LOC #: <br />ADDITIONAL REMARKS SCHEDULE <br />Page 1 of 1 <br />AGENCY <br />Arthur J. Gallagher 8 Co. <br />NAMED INSURED <br />Community Action Partnership of Orange County <br />I Street <br />Garden Grove CA 92841 <br />POLICY NUMBER <br />CARRIER <br />NAIC CODE <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 />7l1I2020 to 7/12021 <br />s' Insurance Alliance of CA -A.M. Best #: 011845 <br />of Santa Ana, Its officers, employees, agents and volunteers are named additional Insured with respect to the operations of the named Insured. The <br />provided in the Commercial General Liability policies are primary and any other insurance shall be excess only and not contributing. Written notice <br />xovlded at least ten (10) days in advance of cancellation for non-payment of premium and thirty (30) days in advance for any other cancellation or <br />REVIEWED & APPROVED <br />By Risk MANACCMENT DiVisiON <br />J 7 020 <br />E ANCINL R. VILLAREAL <br />© 2008 ACORD <br />reserved. <br />The ACORD name and logo are registered marks of ACORD <br />