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ACORO® <br />11.—/ <br />AGENCY CUSTOMER ID: ALLISMEC <br />LOC #: <br />ADDITIONAL REMARKS SCHEDULE <br />Page of <br />AGENCY <br />SullivanCurtisMonroe Insurance Services (IRV) <br />NAMED INSURED <br />Allison Mechanical, Inc. <br />1968 Essex Court <br />Redlands, CA 92373 <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 (03116) <br />HOLDER: City of Santa Ana Risk Management Division, 4th Floor <br />ADDRESS: 20 Civic Center Plaza Santa Ana CA 92702 <br />Named Insureds: <br />Allison Mechanical, Inc. <br />Champ Management, Inc. <br />Inland Sales & Leasing, LLC <br />ACORD 101 (2008101) © 2008 ACORD C <br />The ACORD name and logo are registered marks of ACORD <br />63724429 ALLISMEC 1 2020-21 GLI, PAT, NCQ N C (Primary master) I Monique Nguyen 1 9/2/2021 8:44:12 AM (PDT) I Page 2 c <br />This certificate cancels and supersedes ALL previously issued certificates. <br />BEmt1tldr MltnrgeKtd DlWdmt <br />[���l� �A} P�Rr�ov�EnepB�r', <br />- m JM11.111 (M µ ,ew <br />® Risk Management Supervisor <br />