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AGENCY CUSTOMER ID: INTCON6 <br />LOC #: <br />A4CCWV ADDITIONAL REMARKS SCHEDULE Page 1 of i_ <br />AGENCY <br />NAMED INSURED <br />JS[ Colorado LLC <br />Interest Consulting Group <br />Naffa, Inc.; Vernon Brown & Associates, Inc. <br />POLICY NUMBER <br />P.O. Box 18330 <br />Boulder CO 80308 <br />CARRIER <br />NAIC CODE <br />EFFECTIVE DATE: <br />ADDITIONAL REMARKS <br />THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, <br />FORM NUMBER: 26 FORM TITLE: CERTIFICATE OF LIABILITY INSURANCE <br />Liability and Employers Liability. <br />Additional Insured and Waiver of Subrogation: The City of Santa Ana, its officers, employees, agents, volunteers and representatives <br />ACORD 101 (2008/01) ©2008 ACORD CORPORATION. All rights reserved <br />The ACORD name and logo are registered marks of ACORD <br />