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AGENCY CUSTOMER ID: <br />LOC#: <br />Y'- ne• <br />ADDITIONAL REMARKS SCHEDULE <br />Page 2 of 2 <br />AGENCY <br />NAMED INSURED <br />BIN INSURANCE HOLDINGS LLC/PHS <br />DESIGN PATH STUDIO INC. <br />PO BOX 230165 <br />POLICY NUMBER <br />SEE ACORD 25 <br />ENCINITAS CA 92023-0165 <br />CARRIER <br />NAIC 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 />FORM NUMBER: ACORD 25 FORM TITLE: CERTIFICATE OF LIABILITY INSURANCE <br />The City of Santa Ana, its officers, officials, employees, and volunteers are to be covered as additional insureds on the CGL <br />policy with respect to liability arising out of work or operations performed by or on behalf of the Contractor including materials, <br />parts, or equipment furnished in connection with such work or operations. General liability coverage is provided in the form of <br />Business Liability Coverage Form SS0008 attached to this policy. For any claims related to this contract, the Contractor's <br />insurance coverage shall be primary coverage, as respects the Entity, its officers, officials, employees, and volunteers. Any <br />insurance or self-insurance maintained by the Entity, its officers, officials, employees, or volunteers shall be excess of the <br />Contractor's insurance and shall not contribute with it. <br />R ek muagonmi Dmaim <br />R"EwED 6 APPROVED BY: <br />+will, <br />a 1624 <br />ACORD 101 (2014/01) © 2014 ACORD CORPORA Risk ManagenR tQC it lAide <br />Is <br />The ACORD name and logo are registered marks of ACORD <br />