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ACORO® <br />AGENCY CUSTOMER ID: INTCON6 <br />LOC #: <br />ADDITIONAL REMARKS SCHEDULE <br />AGENCY <br />n Gilder Insurance Corp. <br />_ICY NUMBER <br />CARRIER <br />NAMED INSURED <br />Interwest Consulting Group <br />1076 Lincoln Place <br />Boulder CO 80302 <br />NAIC CODE <br />EFFECTIVE DATE: <br />Page 1 of 1 <br />THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, <br />FORM N UMBER: 2 5 FORM TITLE: CERTIFICATE OF L IAB I L I TY INSURANCE <br />Umbrella/Excess Liability and Workers' Compensation. Limited Contractual Liability is included. The <br />Umbrella / Excess Liability policy provides excess coverage over the General Liability, Automobile <br />Liability and Employers Liability. <br />Additional Insured and Waiver o£ Subrogation: The City o£ Santa Ana, its o££icers, employees, agents, <br />volunteers and representatives <br />© 2008 ACORD CORPORATION. All rights <br />The ACORD name and logo are registered marks of ACORD