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AGENCY CUSTOMER ID: 00000744 <br /> LOC#: <br /> ADDITIONAL REMARKS SCHEDULE Page of <br /> AGENCY NAMED INSURED <br /> Fortune Insurance Aptemiz,Inc. <br /> POLICY NUMBER <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:Notes <br /> Policy does contain blanket waiver of subrogation and would include the following as required by written contract or agreement: <br /> City of Santa Ana <br /> its City Counci,offiers,employees,agents&volunteers. <br /> ACORD 101 (2008/01) © 2008ACORD CORPORATION. All rights reserved. <br /> The ACORD name and logo are registered marks of ACORD <br />