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AGENCY CUSTOMER ID: 06510 <br />LOC #: Los Angeles <br />ADDITIONAL REMARKS SCHEDULE Page 5 of 5 <br />AGENCY <br />NAMED INSURED <br />Marsh Risk 8 Insurance Services <br />AECOM Technical Service, Inc. <br />(f.k.a. DMJM Hams) <br />999 Town and Country <br />POLICY NUMBER <br />Orange, CA 92B68 <br />CARRIER NAIC CODE <br />EFFECTIVE DATE: <br />THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, <br />FORM NUMBER: 25 FORM TITLE: Certificate of Liability Insurance <br />ADDITIONAL INSURED-DESIGNATEDPERSONSOR ORGANIZATIONS <br />Named Insured: AECOM Technical Service, Inc. (f.k.a. DMJM Hams) <br />Policy Symbol Policy Number Policy Period Effective Date of Endorsement <br />BAP 5965893 04 411112 to 411113 <br />Issued By BAP 596589304 41112012-411013 411112 <br />(Name of Insurance Company) Zurich American Insurance Company <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY <br />This endorsement modifies insurance provided under the following: <br />BUSINESS AUTO POLICY <br />TRUCKERS POLICY <br />GARAGE POLICY <br />Additional Insured (s): <br />The City of Santa Ana <br />Public Works Design Engineenng <br />20 Civic Center Plaza <br />Santa Ana, CA 92701 <br />CONTRACT NO. A-2008-216, ON -CALL CONTRACT FOR ENGINEERING AND LANDSCAPING DESIGN SERVICES (AECOM CONTRACT NO.60100544) <br />THE CITY OF SANTA ANA, CA, ITS OFFICERS, EMPLOYEES <br />ANY AUTO <br />A. For a covered 'auto.' Who Is Insured is changed to include as an 'insured' the persons or organizations named in this endorsement. However, these persons or organizations are an *insured" only for "boddy injury' <br />or *property damage' resulting from acts or omissions of: <br />1. You. <br />2. Any of your employees or agents, <br />3 Any person operating a covered 'auto" with permission from You, any of your employees or agents. <br />B. The persons or organizations named in this endorsement are not liable for payment of your premium <br />CA 20 48 02 99 <br />ACORD 101 1200EUn1I <br />'w cwo wa.Unu wrK tYUA F ION. All rights reserved. <br />The ACORD name and logo are registered marks of ACORD <br />