Laserfiche WebLink
AGENCY CUSTOMER ID:JLEEENG-01 MICHAELA <br /> LOC#: 1 <br /> AFRO ADDITIONAL REMARKS SCHEDULE Page 1 of 1 <br /> AGENCY License#OE67768 NAMED INSURED <br /> IOA Insurance Services JLee Engineering,Inc. <br /> 430 S.Garfield Avenue,#301 <br /> POLICY NUMBER Alhambra,CA 91801 <br /> EE PAGE 1 <br /> CARRIER NAIC CODE <br /> EE PAGE 1 SEE P 1 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 Operation s/LocationslVehicles: <br /> GENERAL LIABILITY ADDITIONAL INSURED INCLUDES THE FOLLOWING PERSON(S)OR ORGANIZATION(S): City of Santa Ana,its <br /> officers,employees,and authorized agents <br /> Risk ManagemattDMsion <br /> RE\AEWED&APPROVED Sr. <br /> Risk Management Specialist <br /> ACORD 101 (2008/01) ©2008 ACORD CC <br /> The ACORD name and logo are registered marks of ACORD <br />