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AGENCY CUSTOMER ID: <br /> LOC#: <br /> r ryr• <br /> ADDITIONAL REMARKS SCHEDULE Page 2 of 2 <br /> AGENCY NAMED INSURED <br /> SPECIALTY PROGRAM GROUP LLC/PHS CARDON SOLUTIONS, LLC <br /> POLICY NUMBER 6850 MAPLE DALE RD <br /> SEE ACORD 25 JACKSON MI 49201-9862 <br /> CARRIER NAIC CODE <br /> SEE ACORD 25 <br /> EFFECTIVE DATE:SEE ACORD 25 <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 /> City of Santa Ana, but only as required by a valid written contract, agreement, or permit is an additional insured as provided by <br /> the Business Liability Coverage Form SS0008 attached to this policy. Waiver of Subrogation applies in favor of the Certificate <br /> Holder per the Business Liability Coverage Form SS0008, attached to this policy. Notice of Cancellation will be provided in <br /> accordance with Form SS1224, attached to this policy. <br /> ACORD 101 (2014/01) ©2014 ACORD CORPORATION.All rights reserved. <br /> The ACORD name and logo are registered marks of ACORD <br />