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AGENCY CUSTOMER ID: 06510 <br />LOC #: Los Angeles <br />Ali o® ADDITIONAL REMARKS SCHEDULE <br />Page 2 of 5 <br />AGENCY <br />NAMED INSURED <br />Marsh Risk & Insurance Services <br />AECOM Technical Service, loc. <br />if.k.a. DNUM Harris) <br />999 Town and Country <br />POLICY NUMBER <br />Orange, CA 92858 <br />CARRIER <br />NAIC CODE <br />EFFECTIVE GATE: <br />THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, <br />FORM NUMBER: 25 FORM TITLE: Certificate of Liability Insurance <br />POLICY NUMBER; OLD 591489104 <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br />WAIVER OF TRANSFER OF RIGHTS OF RECOVERY <br />AGAINST OTHERS TO US <br />This endorsement modifies insurance provided under the following: <br />COMMERCIAL GENERAL LIABILITY COVERAGE PART <br />SCHEDULE <br />Name of Person or Organoation: <br />The City of Santa Ana <br />Public Works Design Engineering <br />20 Civic Center Plaza <br />Santa Ana, CA 92701 <br />COMMERCIAL GENERAL LIABILITY <br />CG 24 04 10 93 <br />CONTRACT NO. A 2000.216, ON CALL CONTRACT FOR ENGINEERING AND LANDSCAPING DESIGN SERVICES (AECOM CONTRACT NO.60100544) <br />THE CITY OF SANTA ANA. CA, ITS OFFICERS, EMPLOYEES <br />(If no entry appears above, information raguked 0 complete this endorsement wia be shown in the Dedma-tans as applicants 0 this endorsement) <br />The TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US Condition(Section IV COMMERCIAL GENERAL LIABILITY CONDITIONS)It amended by the addition of the Io"ing: <br />We waive any right of recovery we may have against the person or organization shown in the Schedule above because of payments we make for inquiry or damage aising out of your ongoing operations or'your work' <br />done under a contact with that person or organization and included in the'productscornpleted'operations hazard'. This waiver applies only, to the person or organization shown in the Schedule above. <br />ACORD 101 <br />Copyright, Insurance Services Of", Inc. , 1992 <br />xnna ernwn rnwonwennM eD .f..N4� .nun.vn.4 <br />The ACORD name and logo are registered marks of ACORD <br />