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AGENCY CUSTOMER ID: 10774508 <br />A`� ® LOC #: <br />ADDITIONAL REMARKS SCHEDULE Page _ of <br />AGENCY NAMEDINSURED <br />Aon Risk Services central, Inc. Walsh construction Company II, LLC <br />POLICY NUMBER <br />see Certificate Number: 570105805946 <br />CARRIER NAIC CODE <br />see certificate Number: 570105805946 EFFECTIVE DATE: <br />MUUI r IV14ML nCmX ftJ <br />THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, <br />FORM NUMBER: ACORD 25 FORM TITLE: Certificate of Liability Insurance <br />continuation <br />City of Santa Ana, its officers, employees, agents, volunteers and representatives are an Additional <br />Insureds pertaining to the General Liability with respects to liability arising out of the Named Insured's <br />operations on the referenced project. Professional services for Architects, Engineers, Consultants, etc. <br />are excluded. <br />A waiver of Subrogation in favor of the City of Santa Ana, its officers, employees, agents, volunteers and <br />representatives is included on the General Liability policy. <br />This insurance will be Primary and Non -Contributory to the General Liability policy with respect to any <br />other available insurance to the Additional Insureds for the negligence of the insured on the referenced <br />project. <br />Excess Liability follows form to the underlying General Liability, Automobile Liability and Employers <br />Liability policies. <br />General Liability includes severability of Interests / cross Liability. <br />Fire Legal Liability is part of the Damage to Rented Premises sublimit under the General Liability policy. <br />RivkMouganentDiwion <br />REMENzEo & APPRovED By. <br />A*ft A,&44 <br />Ruk Management Specialist <br />ACORD 101 (2008/01) © 2008 ACORD CORPORA <br />The ACORD name and logo are registered marks of ACORD <br />