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AGENCY CUSTOMER ID: B&DT00 <br />LOC # I <br />ACORD ADDITIONAL REMARKS SCHEDULE Page 2 oft <br />AGENCY <br />Centerpointe Insurance Services, Ltd. <br />NAMEDINSURED <br />B & D TOWING, INC. <br />1502 N SUSAN STREET <br />SANTA ANA, CA. 92703 <br />POLICY NUMBER <br />ACP 7826214975/XL660220305 <br />CARRIER NATIONWIDE MUTUAL INS. CO. /TOPA INS. <br />CO. <br />MAIC CODE <br />23787118031 <br />EFFE07RVEDATE: 07/19/2015 <br />ADDITIONAL REMARKS <br />THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, <br />FORM NUMBER: 25 FORM TITLE: Certificate of Liability Insurance <br />For compliance reasons, the attached document Includes: <br />1. This certificate is issued as a matter of information only and confers no rights upon the certificate holder. This certificate does not <br />affirmatively or negatively amend, extend, or alter the coverage, terms, exclusions, conditions, or other provisions afforded by the policies <br />referenced herein. This certificate of Insurance does not constitute a contract between the issuing insurer(s), authorized representative or <br />producer and the certificate holder. <br />2. Should any of the above described policies be canceled before the expiration datethereof, notice will be delivered in accordance with the <br />policy provisions. <br />B) EXCESS POLICY IS FOLLOWING FORM <br />A) POLICY #: ACP 7826214975 <br />The City of Santa Ana, its officers, employees, agents, volunteers and representatives are additional insured with respects to <br />automobile liability and general liability. As respects to the City, this policy is primary and non contributory and contains a <br />waiver of subrogation. GARAGEKEEPERS LEGAL LIABILITY - LOC#1-1502 N.SUSAN ST,SANTA ANA, CA - $1,200,000 <br />LIMIT <br />ACORD 101 (2008/01) 2008 ACORD CORPORATION. All rights reserved <br />The ACORD name and logo are registered marks of ACORD <br />