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AGENCY CUSTOMER ID: <br /> LOC#: <br /> ,a`oRo ADDITIONAL REMARKS SCHEDULE Page 2 Of 2 <br /> AGENCY NAMED INSURED <br /> Willis Towers Watson Midwest, Inc. HDR Engineering, Inc. <br /> 1917 South 67th Street <br /> POLICY NUMBER Omaha, NE 68106 <br /> See Page 1 <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 Description: Fairview Street Bridge Replacement Project. <br /> Agreement N-2024-215 <br /> Additional Insured: The City, its officers, officials, employees, and volunteers. <br /> Waiver of Subrogation: City of Santa Ana, its City Council, officers, officials, employees, agents, and volunteers <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: 29951702 BATCH: 4455719 CERT: W46123070 <br />