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AGENCY CUSTOMER ID: <br /> LUC#: <br /> ADDITIONAL REMARKS SCHEDULE Page 1 or 1 <br /> AGENCY NAMED INSUnED <br /> FEDERATED MUTUAL INSURANCE COMPANY AND ITS AFFILIATES WATERLINE TECHNCLOGIES INC <br /> 620 N SANTIAGO ST <br /> INCLUDING PRIMARY SOURCE INSURANCE AGENCY SANTA ANA,CA 92701-3942 <br /> POLICY NVM9ER <br /> SEE CERTIFICATE#131.15 <br /> CARRIER N CODE EFFECTIVE DATE:SEE CERTIFICATE{�181,15 <br /> SEE CERTIFICATE#131.15 AIC <br /> ADDITIONAL REMARKS <br /> THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, <br /> FORM NUMBER: 26 FORM TITLE: CERTIFICATE OF LIABILITY INSURANCE__ <br /> THE CERTIFICATE HOLDER IS AN ADDITIONAL INSURED SUBJECT TO THE CONDITIONS OF THE ADDITIONAL INSURED BY CONTRACT <br /> ENDORSEMENT FOR BUSINESS AUTO LIABILITY. <br /> CITY OF SANTA ANA, ITS CITY COUNCIL, OFFICERS, OFFICIALS, EMPLOYEES, AGENTS, AND VOLUNTEERS ARE NAMED AS ADDITIONAL <br /> INSURED. <br /> INSURANCE PROVIDED BY THE GENERAL LIABILITY COVERAGE IS PRIMARY AND NONCONTRIBUTORY OVER OTHER INSURANCE. <br /> INSURANCE PROVIDED BY THE BUSINESS AUTO LIABILITY IS PRIMARY AND NONCONTRIBUTORY OVER OTHER INSURANCE SUBJECT TO <br /> THE CONDITIONS OF THE PRIMARY AND NONCONTRIBUTORY CLAUSE- OTHER INSURANCE CONDITION. <br /> GENERAL LIABILITY CONTAINS A WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US (WAIVER OF SUBROGATION) <br /> - AUTOMATIC ENDORSEMENT <br /> BUSINESS AUTO LIABILITY CONTAINS A WAIVER OF SUBROGATION IN FAVOR OF THE CERTIFICATE HOLDER SUBJECT TD THE <br /> CONDITIONS OF THE BLANKET WAIVER OF TRANSFER OF RIGHTS OF RECOVERY ENDORSEMENT. <br /> FOR REASONS OTHER THAN NON-PAYMENT OF PREMIUM, 30 DAYS NOTICE WILL BE PROVIDED TO THE CERTIFICATE-HOLDER IN THE <br /> EVENT THAT THE ISSUING COMPANY CANCELS THE POLICY BEFORE THE EXPIRATION DATE OF THE POLICY. <br /> THE CERTIFICATE HOLDER IS AN CONTRACTORS POLLUTION LIABILITY SUBJECT TO THE CONDITIONS OF THE ADDITIONAL INSURED <br /> ENDORSEMENT FOR ADDITIONAL INSURED. THE CONTRACTORS POLLUTION LIABILITY COVERAGE CONTAINS A WAIVER OF SUBROGATION <br /> IN FAVOR OF THE CERTIFICATE HOLDER SUBJECT TO THE CONDITIONS OF THE WAIVER OF SUBROGATION . INSURANCE PROVIDED BY <br /> THE CONTRACTORS POLLUTION LIABILITY IS PRIMARY AND NONCONTRIBUTORY OVER OTHER INSURANCE SUBJECT TO THE CONDITIONS <br /> OF THE PRIMARY NON-CONTRIBUTORY.. <br /> ACORD 101(2008101) V 2008 ACORD CORPORATION.All tights reserved. <br /> The ACORD name and logo are registered marks of ACORD <br />