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AGENCY CUSTOMER ID: 06510 <br />LOC #: Los Angeles <br />AC40RL)i ADDITIONAL REMARKS SCHEDULE <br />Page 2 of 2 <br />AGENCY <br />NAMED INSURED <br />Marsh Risk & Insurance Services <br />AECOM <br />AECOM Technical Services, Inc. <br />POLICY NUMBER <br />URS Corporation <br />999 W. Town & Country Rd, <br />CA 92866 <br />CARRIEROrange, <br />NAIC CODE <br />EFFECTIVE DATE: <br />AnnITIONAI RPMAPVQ <br />THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, <br />FORM NUMBER: 25 FORM TITLE: Certificate of Liability Insurance <br />City of Santa Ana is named as additional Insured for GL coverage, but only as respects work performed by or on behalf of the named insured, This insurance Is primaryand non- <br />contributory over any existing insurance and limited to liability arising out of the operations of the named Insured and where required by written contract with respect to the GL <br />coverage. Severability Of Inlerest/Cross Liability Is Included for General Liabllity coverage. If the insurer for the General Liabllity or Automobile Liability policy cancels its policy for <br />any reason other than for non-payment of premium, the insurer will provide 30 days notice of cancellation to those Certificate Holders that require It by written contract. <br />ACORD 101 (2008101) <br />The ACORD name and logo are registered m <br />� 4VVO M+ ,UKu wKVUKA I IUN. All rights reserved. <br />RtwV1EU11ED BY` � �°� f�, � EIJ If.;E HEREMA (H'G OF ) <br />