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AGENCY CUSTOMER ID: <br />LOC #: <br />-`A�?p® ADDITIONAL REMARKS SCHEDULE <br />Page 2 of 2 <br />AGENCY <br />NAMED INSURED <br />Willis (Bermuda) Ltd. - <br />Taller San Jose Hope Builders <br />801 N. Broadway <br />Santa Ana, CA 92701 <br />POLICY NUMBER <br />See Page 1 <br />CARRIER <br />NAIC CODE <br />Sea Page 1 <br />See Page 1 <br />EFFECTIVE DATE: See Page 1 <br />ADDITIONAL REMARKS <br />THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, <br />FORM NUMBER: 26 FORM TITLE: certificate of Liability Insurance <br />City of Santa Ana, its officers, agents, representatives, <br />employees and volunteers are included as Additional Insureds <br />as respects to General Liability. <br />- <br />ACORD 101 (2008101) <br />72008 ACORD C <br />The ACORD name and logo are registered marks of ACORD <br />SR ID: 21126221 BATCH: 2203724 CERT: W21008985 <br />sun Hlek Mmmgnmmt Drnalon u. <br />3fi �2 REVIEWED&APPROVED BY: , <br />I�I Risk Management Hnalytt <br />