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AGENCY CUSTOMER ID: <br />LOC S: <br />AC R'O ADDITIONAL REMARKS SCHEDULE Page _of <br />AGENCY <br />NAMED INSURED <br />Edgewood Partners Insurance Center (EPIC) <br />1R Ada Parkway, Suite 200 <br />[Nine CA 9261$ <br />POLICY NUMBER <br />6609169L189 <br />CARRIER <br />NAIC CODE <br />Travelers Property Casualty Co of Amen" <br />EFFECTIVE DATE: 1/2312014 <br />THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, <br />FORM NUMBER: 25 FORM TITLE: Certificate of Liability (07/14} <br />CERTIFICATE HOLDER: City of Santa Ana Santa Ana Public Works Agency <br />ADDRESS: 20 Civic Center Plaza (M•36) Santa Ana CA 92702 <br />Additional Insured When Required By Written Contract continued; <br />City of Santa Ana, its officers, employees, agents, volunteers and representatives <br />AS TO VOW <br />r <br />t ISA. RCK <br />Assistant City Attorney <br />41h <br />The ACORD name and logo are registered marks of ACORD ADDENDUM <br />CERT NO.: 21 IPP897 ➢eni D[ye[ 9/3129U 8:5OH3 AM (PDT) Page 2 oc 4 <br />