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AGENCY CUSTOMER ID: INDUSSUPP01 <br /> LOC#: <br /> ,a`oRo ADDITIONAL REMARKS SCHEDULE Page 1 of 1 <br /> AGENCY NAMED INSURED <br /> Marsh&McLennan(CL" Industrial Medical Support Inc <br /> 5639 Hansel Avenue <br /> POLICY NUMBER Edgewood FL 32809 <br /> CARRIER NAIC 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 INSURANCE <br /> Excess Liability applies on a follow-form basis with respect to General Liability, Professional Liability, Hired&Non-Owned Auto Liability,and Employers Liability, <br /> subject to the provisions and limitations of the policy. <br /> 'Complete Certificate Holder Name:City of Santa Ana,it's 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 />