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AGENCY CUSTOMER ID: <br /> LOC#: <br /> ,a`oRo ADDITIONAL REMARKS SCHEDULE Page of <br /> AGENCY NAMED INSURED <br /> GMGS Risk Management&Insurance Services EEC Environmental <br /> dba:Environmental Engineering&Contracting, Inc. <br /> POLICY NUMBER One City Boulevard West,Suite 1800 <br /> Orange CA 92868 <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(03/16) <br /> HOLDER: City of Santa Ana Attention:Public Works Agency <br /> ADDRESS:20 Civic Center Plaza(M-21)Santa Ana CA 92701 <br /> All operations of the named insured subject to the terms and conditions of the policies. <br /> As respects General Liability coverage, City of Santa Ana, its City Council, officers, <br /> officials, employees, agents, and volunteers are added as Additional Insured per <br /> CG20101219 and CG20371219 attached, and this insurance is primary per XIL4240605 attached. <br /> As respects General Liability coverage, a Waiver of Subrogation is hereby included per <br /> CG24041219 attached. <br /> As respects General Liability coverage, 30-day written notice of cancellation (10 days for <br /> non-payment of premium) applies per IL02701219 attached. <br /> As respects Automobile Liability coverage, City of Santa Ana, its City Council, officers, <br /> officials, employees, agents, and volunteers are added as Additional Insured per <br /> XIC4111013, and this insurance is primary per CA04491116 attached. <br /> As respects Automobile Liability coverage, a Waiver of Subrogation is hereby included per <br /> CA04441013 attached. <br /> As respects Workers' Compensation coverage, a Waiver of Subrogation is hereby included per <br /> WC990634 attached. <br /> As respects Workers' Compensation coverage, 30-day written notice of cancellation (10 days <br /> for non-payment of premium) applies per WC040601A attached. <br /> As respects Pollution Liability coverage, Additional Insured status applies per EVPCPocCP <br /> 0424 attached. <br /> As respects Pollution & Professional Liability coverage, a Waiver of Subrogation is hereby <br /> included, per EVPCPocCP 0424 attached. <br /> ACORD 101 (2008/01) ©2008 ACORD CORPORATION. All rights reserved. <br /> The ACORD name and logo are registered marks of ACORD ADDENDUM <br /> 89056740 1 25-26 A/G/U/W/Poll/E&O I Dani Rembleski 11/28/2026 10:36:44 AM (PST) I Page 2 Of 19 <br />