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AC4OR" <br />Lam' <br />AGENCY CUSTOMER ID: 06510 <br />LOC 44: Los Angeles <br />ADDITIONAL REMARKS SCHEDULE <br />Page 4 of 5 <br />AGENCY <br />NAMEDINSURED <br />Marsh Rsk & Insurance Selviaes <br />AECOM Technnal Service, Inc. <br />if.k.a. DMJM Hams) <br />9%Town and Country <br />POLICY NUMDER <br />Orange, CA 92868 <br />CARRIER <br />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 />POLICYNUMBER. GLO596589104 <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br />ADDITIONAL INSURED DESIGNATED <br />PERSON OR ORGANIZATION <br />This endonenni modifies insurance provided under the following: <br />COMMERCIAL GENERAL LIABILITY COVERAGE PART <br />SCHEDULE <br />Nana 01 Additional Insured Persons) Or Organizztionsis) <br />The Gry of Santa Ana <br />Public Work, Design Engineered <br />20 Civic Center Plaza <br />Saula Ana, CA 92701 <br />COMMERCIAL GENERAL LIABILITY <br />CG 2026 07 04 <br />CONTRACT NO. A 2D08-216, ON CALL CONTRACT FOR ENGINE ERING AND LANDSCAPING DESIGN SERVICES (AECOM CONTRACT N0. 60100544) <br />THE CITY OF SANTA ANA, CA, ITS OFFICERS, EMPLOYEES <br />Information required to complete this Schedule. it not shown above, will be shown in the Declarations <br />Section II - Who is An Insured is amenoed to include as an additional insured the pemon(s) or organizations) shown in the Schedue, but only with respect to liability for 'bodily injury', *property damage' or 'personal and <br />adverbsing injury' caused, in whole or in pal by your Dios or omissions or the acts or omissions of Those acing on your behalf. <br />A. In the performance of your ongoing operations; or <br />B. In connection with your premises awned by or rented to you. <br />CG 20 26 07 04 <br />POLICY NUMBER. BAP 596589304 <br />ACORD 101 <br />The ACORD name and logo are registered marks of ACORD <br />All rights reserved. <br />