Laserfiche WebLink
AGENCY CUSTOMER ID: MERCY-1 <br />ACORbs <br />1. / <br />KiIr7..l31 <br />ADDITIONAL REMARKS SCHEDULE <br />Page 1 of 1 <br />AGENCY <br />Burnham WGB Insurance Solutions <br />NAMED INSURED <br />Mercy House Living Centers, Inc. <br />PO Box 1905 <br />Santa Ana CA 92702 <br />POLICY NUMBER <br />CARRIER <br />NAIL CODE <br />EFFECTIVE GATE: <br />THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, <br />FORM NUMBER: 25 FORM TITLE: CERTIFICATE OF LIABILITY INSURANCE <br />Operations usual to the insured's operations subject to the policy terms and conditions. <br />CERTIFICATE HOLDER VESTING: City of Santa Ana, its officers, employees, agents and representatives <br />101 <br />//''�� Ru4MmgnmlOmtlan <br />'JosC f�rcwors <br />© 2008 ACORD C(i RekMaru9em"a..;ulaa� <br />The ACORD name and logo are registered marks of ACORD <br />