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AGENCY CUSTOMER ID: CN101472134 <br /> LOC#: New York <br /> ACCO ADDITIONAL REMARKS SCHEDULE Page 2 of 2 <br /> AGENCY NAMED INSURED <br /> MARSH USA,LLC, SULLY-MILLER CONTRACTING COMPANY <br /> 1368,STATE COLLEGE BLVD.,STE.400 <br /> POLICY NUMBER BREA,CA 92821 <br /> CARRIER NAIC CODE <br /> EFFECTIVE DATE: <br /> ADDITIONAL REMARKS <br /> THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, <br /> FORM NUMBER: 2b FORM TITLE: Certificate of Liability Insurance <br /> Waiver of Subrogador Is included In favor of the certificate holder and applies only to the specBlo lobs of the Insured performed under wrillen contmot,and <br /> where applicable bylaw, <br /> City of Santa Ana is Loss Payee <br /> i <br /> i <br /> i <br /> i <br /> I <br /> ACORD 101 (2008101) 02008 ACORD CORPORATION. All rights reserved. <br /> The ACORD name and logo are registered marks of ACORD <br />