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AGENCY CUSTOMER ID: VIAND-01 <br />LOC #: <br />DMOORE <br />AC4RV - <br />ADDITIONAL REMARKS SCHEDULE <br />Page 1 of _1 <br />AGENCY <br />License # L100460 <br />NAMED INSURED <br />nauf Maxwell Insurance Services <br />Training and Research Foundation <br />750 W. First St. <br />Tustin, CA 92780 <br />POLICY NUMBER <br />EE PAGE 1 <br />CARRIER <br />CODE <br />E1 <br />4EPAGEEPAGE1P <br />TSEE1 <br />EFFECTIVE DATE: SEE PAGE i <br />REMARKS <br />THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, <br />FORM NUMBER: ACORD 25 FORM TITLE: Certificate of Liability Insurance <br />Description of Operations/LocationsNehicles: <br />$0 retention/deductible <br />*Occurrence Form <br />Coverage: Social Services Professional Liability <br />Policy# 2024-52013 <br />Effective 7/0112024 to 7/01/2025 <br />$1,000,000 Each Occurrence (Event) limit <br />$3,000,000 Aggregagate limit <br />$0 retentionldeductible <br />*Occurrence Form <br />El Salvador Early Care Education Center <br />aka: Anne Broussard <br />1825 W Civic Center Drive <br />Santa Ana, CA 92703 <br />Logan After School/Summer Program Center <br />1009 N Custer Street <br />Santa Ana, CA 92701 <br />Corbin After School/Summer Program Center <br />2215 W McFadden Avenue <br />Santa Ana, CA 92704 <br />City of Santa Ana, its officers, officials, employees and volunteers are also included as as Additional Insured, including Primary & <br />Non -Contributory wording, and Waiver of Subrogation applies as respects General Liability coverge; only as per the attached <br />endorsement(s), regarding the Facilities Use Agreement (The City of Santa Ana, Parks Recreational and Community Services <br />Agency, Event Name: The Chicano Heritage Festival, Location: El Salvador Park, 1825 W Civic Center Dr Santa Ana, CA 92703, <br />Logan Community Center, 1009 N. Custer St., Santa Ana, CA 92701). 30-day notice of cancellation applies. <br />$4MM Umbrella goes over underlying General Liability, Improper Sexual Abuse & Molestation Liability, Social Service Professional <br />Liability, Workers Compensation and Commercial Autombile Liability Coverage (HINO only). <br />ACORD 101 (2008101) © 2008 ACORD <br />Risk Msmaganed Division <br />REVIEWED <br />& APPROVED BY: <br />Risk Management Spenabst <br />The ACORD name and logo are registered marks of ACORD <br />