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AGENCY CUSTOMER ID: 800175E <br />LOC#: <br />"4`C..°--R00 <br />® ADDITIONAL REMARKS SCHEDULE <br />Paged of -2 <br />AGENCY NAMED INSURED <br /> Hill International, Inc. <br />Willis of Pennsylvania, Inc. 303 Lippincott Centre <br />POLICY NUMBER Marlton, NJ 08053 <br />See First Page <br />CARRIER NAIC CODE <br />See First Page EFFECTIVEDATE: See First Page <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 />City of Santa Ana along with their respective officers, directors, agents and employees are listed <br />as Additional Insureds on a Primary and Non-Contributory basis as respects General Liability and <br />Automobile Liability but solely in regards to work being performed by or on behalf of the named <br />insured as required by those entities with whom the named insured executes a written contract. <br />Waiver of Subrogation applies. <br />- --•-•? •?• 1--.1 --jivu- ip1:164.76/b l:ert:ibtssubtst3 UzUU8ACORDCORPORATION. Allrights reserved. <br />The ACORD name and logo are registered marks of ACORD