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AGENCY CUSTOMER ID: <br />LOC #: <br />A O ADDITIONAL REMARKS SCHEDULE Page of <br />AGENCY <br />IOA Insurance Services <br />NAMED INSURED <br />AGA Engineers, Inc.211 E. Imperial Hwy., Suite 208 <br />Fullerton CA 92835 <br />POLICY NUMBER <br />CARRIER <br />NAfC CODE <br />EFFECTIVE DATE: <br />ADDITIONAL REMARKS <br />THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, <br />FORM NUMBER: 25 FORM TITLE: Certificate of Liability (03/16) <br />HOLDER: City of Santa Ana <br />ADDRESS: Risk Management Division 20 Civic Center Plaza, M-43 Santa Ana CA 92702 <br />Description of Operations Continued: 30 Day Notice of Cancellation / 10 Days for Non <br />Payment in accordance with policy provisions. <br />IEW MAYlAAPPR11 Un4sl Y: <br />AEVIEVJEQ lSe APPROVED 6Y: <br />Risk Management Speoalut <br />ACORD 101 (2008/01) ©2008 ACORD ,I/ _ <br />The ACORD name and logo are registered marks of ACORD ATTACHMENT <br />00051764 1 7/24-25 GL/A➢TO/EXCESS/WC/PI, Blanket Endts I Pauline Hingham 1 7/9/2024 11:19:04 All (PDT} I Page 2 of 19 <br />