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AGENCY CUSTOMER ID: 1005974 <br />LOC #: <br />ACO ADDITIONAL REMARKS SCHEDULE Page o>: <br />AGENCY <br />NAMED INSURED <br />SL Insurance Associates Inc <br />Pacific Services Inc - <br />1060 Calla Nag OC iO <br />POLIGYNUMBER <br />Suite C <br />San Clemente, CA 92673 <br />CARRIER <br />NAIL CODE <br />EFFECTR/E DATE: <br />ADDITIONAL REMARKS <br />THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, <br />FORM NUMBER: 25 FORM TITLE: Certificate o£ Liability Insurance <br />CERTIFICATE NUMBER: REVISION NUMBER: <br />30 day notice applies £or any changes to policy coverages and canca11a1tion. <br />this policy has been endorsed to meet all requirements £or the City of Santa Ana. Hard copy to follow <br />£ rom CNA Insurance Company <br />ACORD '101 (2008/01) ®2008 ACORD CORPORATION. All rights ressrvad <br />� ne nc:crrcu name ana logo are reglatered marks of ACORD <br />