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AC40RH <br />L ---- <br />AGENCY CUSTOMER ID: 06510 <br />LOC #: Los Angeles <br />ADDITIONAL REMARKS SCHEDULE <br />Page 3 of 4 <br />AGENCY <br />NAMED INSURED <br />Marsh Risk & Insurance Services <br />AECOM USA, Inc. <br />flkla P&D Consultants, Inc. <br />DMJM.Hanis, Inc. <br />POLICY NUMBER <br />999 TOWN & COUNTRY RD., 4TH FL. <br />ORANGE, CA 92868 <br />CARRIER <br />NAIL 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 />POLICY NUMBER: GILD 5965891 04 <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br />ADDITIONAL INSURED- DESIGNATED <br />PERSON OR ORGANIZATION <br />This endorsement modifies insurance provided under the following: <br />COMMERCIAL GENERAL LIABILITY COVERAGE PART <br />SCHEDULE <br />Name Of Additional Insured Person(s) Or Organizatdns(s) <br />CITY OF SANTA ANA <br />20 CIVIC CENTER PLAZA (M-29) - P.O. BOX 1988 <br />SANTA ANA. CA 92702-1988 <br />CITY OF SANTA ANA, ITS OFFICERS, EMPLOYEES, AGENTS, VOLUNTEERS AND REPRESENTATIVES <br />Information required to complete this Schedule, if not shown above, will be shown in the Declarations <br />COMMERCIAL GENERAL LIABILITY <br />CG 20 26 07 04 <br />Section II - Who is An Insured is amended to include as an additional insured the person(s) or organization(s) shown in the Schedule, but arty mith respect to liability for "bodily injury', "property damage' or 'personal and <br />advertising injury" caused, in whole a in pan, by your acts or omissions or the acts or omissions of those ailing on your behalf. <br />A. In the performance of your ongoing operations, or <br />B. In connection with your premises owned by w rented to you. <br />CG 20 26 07 04 <br />dm 121111111111111111 <br />2008 ACORD CORPORATION. All right reserved. <br />The ACORD name and logo are registered marks of ACORD <br />