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AGENCY CUSTOMER ID: <br />LOC# : <br />ADDITIONAL REMARKS SCHEDULE <br />22 <br />Pageof <br />AGENCYNAMED INSURED <br />PAUL R NADLER INSURANCE SERVICESINTERACTIVE SCIENCES INC <br />POLICY NUMBER <br />1682 HAMILTON AVE <br />PALO ALTO CA 94303-2829 <br />SEE ACORD 25 <br />CARRIERNAIC CODE <br />SEE ACORD 25 <br />EFFECTIVE DATE:SEE ACORD 25 <br />ADDITIONAL REMARKS <br />THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM <br />ACORD 25CERTIFICATE OF LIABILITY INSURANCE <br />FORM NUMBER:FORM TITLE: <br />Notice of Cancellation will be provided in accordance with Form SS1223, attached to this policy. Such insurance as is afforded <br />by this policy shall be primary, and any insurance carried by City shall be excess and noncontributory. Coverage is primary and <br />noncontributory per the Business Liability Coverage Form SS0008, attached to this policy. Waiver of Subrogation applies in <br />favor of the Certificate Holder per the Business Liability Coverage Form SS0008, attached to this policy. City of Santa Ana, <br />officers, agents, employees, and volunteers are named as additionally insured on this policy pursuant to written contract, <br />agreement, or memorandum of understanding an additional insured per the Business Liability Coverage Form SS0008, <br />attached to this policy. <br />ACORD 101 (2014/01)© 2014 ACORD CORPORATION. All rights reserved. <br /> <br />The ACORD name and logo are registered marks of ACORD <br /> <br />