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AGENCY CUSTOMER ID: PRO-CON-01 <br /> _ LOC.#: <br /> AC" ADDITIONAL REMARKS SCHEDULE Page 1 of 1 <br /> AGENCY NAMEDINSURED <br /> Alliant Insurance Services,Inc. Pro-Craft Construction,Inc. <br /> 500 Iowa Street <br /> POLICY NUMBER Redlands CA 92373 <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 <br /> Automobile Liability-Waiver of Subrogation(Form#AC 84 07 11 17) <br /> Workers'Compensation-Wavier of Subrogation(Form#WC 04 03 08 R1 Ed.0810112013) <br /> Re:Job#24210,City of Santa Ana,Various Owned City Properties. <br /> City of Santa Ana,Its Officers,Employees,Agents,and Representatives are included as Additional Insureds on primary and non-contributory basis,waiver of <br /> subrogation applies. <br /> ACORD 101 (2008101) ©2008 ACORD CORPORATION. All rights reserved. <br /> The ACORD name and logo are registered marks of ACORD <br />