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AGENCY CUSTOMER ID: WATEWOR-01 <br /> LOC#: <br /> ,a`oRo ADDITIONAL REMARKS SCHEDULE Page 1 of 1 <br /> AGENCY NAMED INSURED <br /> InterWest Insurance Services, LLC Water Works Engineers, LLC <br /> 7500 N. Dobson Road Suite 200 <br /> POLICY NUMBER Scottsdale AZ 85256 <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 /> RE: PRP#24-083, City of Santa Ana-City of Santa Ana, its City Council,officers,officials,employees,and volunteers Additional Insured status applies to <br /> requested entities if required by written contract per the attached policy form/endorsement(s). Primary non-contributory applies to requested entities if required <br /> by written contract per the attached policy form/endorsement(s).Waiver of subrogation applies to requested entities if required by written contract per the <br /> attached policy form/endorsement(s). <br /> ACORD 101 (2008/01) ©2008 ACORD CORPORATION. All rights reserved. <br /> The ACORD name and logo are registered marks of ACORD <br />