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AGENCY CUSTOMER ID: <br /> _ LOC#: <br /> A"R" ADDITIONAL REMARKS SCHEDULE Page of <br /> AGENCY NAMEDINSURED <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 NA[C 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 /> RE: RYP No. 25-011 <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 TL02701219 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 /> CA20011120, 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 Liability coverage, a Waiver of Subrogation is hereby included, per <br /> EVPCPocCP 0424 attached. <br /> ACORD 101 (2008101) ©2008 ACORD CORPORATION. All rights reserved. <br /> The ACORD name and logo are registered marks of ACORD ADDENDUM <br /> 65795245 125-26 A/G/U/W/poll/EGO I Marissa Rome 16/12/2025 9:47:17 AN (PDT) I Page 2 of 22 <br />