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AGENCY CUSTOMER ID: <br /> _ LOC#: <br /> AC R" ADDITIONAL REMARKS SCHEDULE Page 2 Of 3 <br /> AGENCY NAMED INSURED <br /> Willis Towers Watson Southeast, Inc. ASH Industries Incorporated <br /> an ABM Industries Incorporated Company <br /> POLICY NUMBER 4151 Ashford Dunwoody Road, Suite 600 <br /> See Page 1 Atlanta, GA 30319 <br /> CARRIER NAIL CODE <br /> See Page 1 Sea Page 1 EFFECTIVE DATE: Sae Page 1 <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 /> Worksite Location : Through out the City of Santa Ana, Cleaning Services for Portable Restrooms for 2 day Festival <br /> Description of Job: Maintenance of clean Restroom through out the 2- day festival <br /> City of Santa Ana, Its City Counsel, officers, officials, employees, agents, and volunteers are included as Additional <br /> Insured as respects General Liability and Automobile Liability (Umbrella follows Form) as required by written contract <br /> with the Named Insured. If required by the written contract or agreement with said Additional Insured, this insurance <br /> shall be primary insurance to any other insurance available to said insured covering the same loss. Such other <br /> insurance available to said Additional Insured shall be excess to and non-contributing to this insurance. Waiver of <br /> subrogation applies in favor of Additional Insured as respects General Liability, Automobile Liability and Workers <br /> Compensation, where allowed by law, (Umbrella follows form) as required by written contract with the Named Insured. <br /> Umbrella/Excess policy applies excess of General Liability, Auto Liability and Employers Liability Policies, <br /> INSURER AFFORDING COVERAGE: Federal Insurance Company NAIL#: 20281 <br /> POLICY NUMBER: J06105798 EFF DATE: 11/01/2024 EXP DATE: 11/01/2025 <br /> TYPE OF INSURANCE: LIMIT DESCRIPTION: LIMIT AMOUNT: <br /> Crime/Employee Dishonesty/ Each Occurrence $5,000,000 <br /> Fidelity <br /> INSURER AFFORDING COVERAGE: AIG Specialty Insurance Company NAIC$: 26883 <br /> POLICY NUMBER: CPO 16081985 EFF DATE: 05/01/2025 EXP DATE: 05/01/2026 <br /> TYPE OF INSURANCE: LIMIT DESCRIPTION: LIMIT AMOUNT: <br /> Contractor's Pollution Liability Each Loss $10,000,000 <br /> Aggregate $10,000,000 <br /> SIR $500,000 <br /> INSURER AFFORDING COVERAGE: American Home Assurance Company NAIL#: 19380 <br /> POLICY NUMBER: 080768613 EFF DATE: 05/01/2025 EXP DATE: 05/01/2026 <br /> TYPE OF INSURANCE: LIMIT DESCRIPTION: LIMIT AMOUNT: <br /> Property Coverage Per Policy $5,000,000 <br /> ADDITIONAL REMARKS: <br /> All Risk of Physical Damage at any location including customer's premises, subject to policy terms, <br /> ACORD 101 (2008101) Q 2008 ACORD CORPORATION. All rights reserved. <br /> The ACORD name and logo are registered marks of ACORD <br /> SR ID: 27837252 BATCH: 3962138 CERT: W39165395 <br />