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AGENCY CUSTOMER ID: <br /> LOC#: <br /> ACCOR"® ADDITIONAL REMARKS SCHEDULE Page 2 of 2 <br /> AGENCY NAMED INSURED <br /> Willis Towers Watson Northeast, Inc. Fieldtur£ USA Inc <br /> c/o Sports Division <br /> POLICY NUMBER Tarkett Inc. <br /> See Page 1 7445 Cote-de-Liesse Road, Suite 200 <br /> Montreal, QC H4T 1G2 CAN <br /> CARRIER NAIC CODE <br /> See Page 1 See Page 1 EFFECTIVE DATE: See Page 1 <br /> ADDITIONAL REMARKS <br /> THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, <br /> FORM NUMBER: 25 FORM TITLE: Certificate of Liability Insurance <br /> Project: City of Santa Ana - Multi-Year Maintenance Contract (7 Sites) <br /> Agreement: (018) ; Artificial Turf Sports Field Maintenance. <br /> City of Santa Ana, its City Council, officers, officials, employees, agents, and volunteers are included as Additional <br /> Insureds on the General Liability policy, as respects to ongoing and completed operations performed on the project <br /> specified in the construction contract for the period of time required within the contract. <br /> It is further agreed that such insurance as is afforded shall be Primary and Non-contributory with any other insurance <br /> in force for or which may be purchased by the Additional Insureds, where required by written contract executed prior to <br /> loss and permitted by law. <br /> Waiver of Subrogation applies in favor of City of Santa Ana, its City Council, officers, officials, employees, agents, <br /> and volunteers with respect to General Liability, Automobile Liability and Workers Compensation coverage where required <br /> by written contract subject to policy terms and conditions and as permitted by law. <br /> INSURER AFFORDING COVERAGE: Berkley Assurance Company NAIC#: 39462 <br /> POLICY NUMBER: PCAB-5028150-0225 EFF DATE: 02/15/2025 EXP DATE: 02/15/2026 <br /> TYPE OF INSURANCE: LIMIT DESCRIPTION: LIMIT AMOUNT: <br /> Professional Liability Each Claim $2,000,000 <br /> Aggregate $2,000,000 <br /> SIR $250,000 <br /> ACORD 101 (2008/01) ©2008 ACORD CORPORATION. All rights reserved. <br /> The ACORD name and logo are registered marks of ACORD <br /> SR ID: 27763033 BATCH: 3961429 CERT: W39003489 <br />