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AGENCY CUSTOMER ID: <br /> LOC#: <br /> Y'� ne• <br /> - ADDITIONAL REMARKS SCHEDULE Page 2 of 2 <br /> AGENCY NAMED INSURED <br /> WHINS INSURANCE AGENCY LLC/PHS IGOE &COMPANY, INCORPORATED DBA IGOE <br /> POLICY NUMBER ADMINISTRATIVE SERVICES, INCORPORATED <br /> SEE ACORD 25 10905 TECHNOLOGY PL STE A <br /> CARRIER NAIC CODE SAN DI EGO CA 921 27-1 81 1 <br /> SEE ACORD 25 EFFECTIVE DATE:SEE ACORD 25 <br /> ADDITIONAL REMARKS <br /> THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM <br /> FORM NUMBER: ACORD 25 FORM TITLE: CERTIFICATE OF LIABILITY INSURANCE <br /> City of Santa Ana, its officers, agents, employees, and volunteers, but only as required by a valid written contract, agreement, <br /> or permit is an additional insured per the Business Liability Coverage Part includes a Blanket Additional Insured By Contract <br /> Endorsement, Form SL 30 32, attached to this policy. Waiver of Subrogation applies in favor of the Certificate Holder per the <br /> Business Liability Coverage Form SL 00 00, attached to this policy. <br /> ACORD 101 (2014/01) ©2014 ACORD CORPORATION.All rights reserved. <br /> The ACORD name and logo are registered marks of ACORD <br />