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ACO OR <br />L � <br />AGENCY CUSTOMER ID: 06510 <br />LOC a: Los Angeles <br />ADDITIONAL REMARKS SCHEDULE <br />Page 2 of 3 <br />AGENCY <br />Marsh Risk & Insurance Services <br />NAMED INSURED <br />AECOM TECHNICAL SERVICES, INC. <br />605 THIRD AVENUE <br />NEW YORK, NY 10158 <br />POLICY NUMBER <br />CARRIER <br />NAIC CODE <br />EFFECTIVE DATE: <br />THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, <br />FORM NUMBER: 25 FORM TITLE: Certificate of Liability Insurance <br />POLICY NUMBER: GLO 5965891 04 <br />THIS ENDORSEMENT CHANGES THE POLICY PLEASE READ IT CAREFULLY. <br />ADDI HONAL INSURED - DESIGNATED <br />PERSON OR ORGANIZATION <br />This endorsement modifies insurance provided under the following: <br />COMMERCIAL GENERAL LIABILITY COVERAGE PART <br />SCHEDULE <br />Name Of Additional Insured Person(s) Or Organizations(s) <br />CITY OF SANTA ANA <br />20 CIVIC CENTER PLAZA., 4TH FLOOR <br />SANTA ANA, CA 92701 <br />ITS OFFICERS, REPRESENTATIVES, VOLUNTEERS, AGENTS AND EMPLOYEES <br />RE: Design Services for the First Street bridge widnening project. <br />Information required to complete this Schedule, if not shown above, will be shown in the Declarations <br />COMMERCIAL GENERAL LIABILITY <br />CG 20 26 07 04 <br />Section II - Who is An Insured is amended to include as an additional insured the person(s) or organizalion(s) shown in the Schedule, but only with respect to liability for 'bodily injury", "property damage' or "personal and <br />advertising injury' caused, in whole or in part, by your acts or omissions or the acts or omissions of those acting on your behalf: <br />A. In the performance of your ongoing operations; or <br />B. In connection with your premises owned by or rented to you. <br />CG 20 26 07 04 <br />Arnon — r.,nnn 1 <br />- - - °"� ® ZUUS ACORD CORPORATION. All rights reserved. <br />The ACORD name and logo are registered marks of ACORD <br />