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AGENCY CUSTOMER ID: BRAISTU-01 <br />LBOSSHART <br />LOC #: 1 <br />AFRO ADDITIONAL REMARKS SCHEDULE <br />Page 1 of 1 <br />AGENCY License # OM10410 <br />NAMED INSURED <br />rmstron /Robitaille/Rie le Business and Insurance Solutions <br />g g <br />Brainstorm Studios, LLC <br />42 Waterworks Way <br />Irvine, CA 92618 <br />POLICY NUMBER <br />EE PAGE 1 <br />CARRIER <br />NAIC CODE <br />,SEE PAGE 1 <br />SEE P 1 <br />EFFECTIVE DATE: SEE PAGE 1 <br />ADDITIONAL 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 />The City of Santa Ana, its officers, officials, employees, and volunteers are to be covered as additional insureds on the CGL policy <br />with respect to liability arising out of work or operations performed by or on behalf of the Permittee including materials, parts, or <br />equipment furnished in connection with such work or operations. Primary & Non -Contributory coverage and a Waiver of <br />Subrogation applies to the General Liability policy per the attached forms. <br />ACORD 101 (2008/01) © 2008 ACORD CORPORATION. All rights reserved. <br />The ACORD name and logo are registered marks of ACORD <br />