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AGENCY CUSTOMER ID:ENVIPLA-02 TAKAPUK <br /> LOC 9: 1 <br /> ACpRV' ADDITIONAL REMARKS SCHEDULE Page 1 of 1 <br /> AGENCY License#OE67768 NAMED INSURED <br /> OA Insurance Services Environment Planning Development Solutions Inc dba EPD Solutions Inc <br /> 3333 Michelson Dr.,Suite 600 <br /> POLICY NUMBER Irvine,CA 92612 <br /> EE PAGE 1 <br /> CARRIER NAIL CODE <br /> EE PAGE 1 SEE P 1 EFFECTIVE DATE:SEE PAGE 1 <br /> ADDITIONAL REMARKS <br /> THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, <br /> FORM NUMBER: ACORD 25 FORM TITLE: Certificate ofi-labilLty,Insurance <br /> Description of Operations/Locations/Vehicles: <br /> (5)Professional Liability policy shall apply on a claims-made basis and include a waiver of subrogation provision. <br /> Professional Liability Retroactive Date: Full Prior Acts <br /> Additional Insureds:City of Santa Ana, its officers, officials,employees,and authorized volunteers <br /> ACORD 101 (2008101) ©2008 ACORD CORPORATION. All rights reserved. <br /> The ACORD name and logo are registered marks of ACORD <br />