Laserfiche WebLink
AGENCY CUSTOMER to: <br />LOC: <br />ADDITIONAL REMARKS SCHEDULE <br />ICY NAMEDINSURED <br />Barrett Business Services, Inc. <br />Int Underwriting Inc. 8100 NE Parkway, Suite 200 <br />:Y NUMBER Vancouver WA 98662 <br />C48099270 <br />GER INAICCODE <br />(ACE American Insurance Company 122667 1EFFECTIVE DATE: 10/26/14 <br />ADDITIONAL REMARKS <br />THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, <br />FORM NUMBER: 25 FORM TITLE: Certificate of Liability (01114) <br />CERTIFICATE HOLDER: City of Santa Ana <br />ADDRESS: 20 Civic Center Plaza Santa Ana CA 02701 <br />The City of Santa Ana; BBSI WILL ENDEAVOR TO PROVIDE 30 DAYS NOTICE OF CANCELLATION. <br />101 !2008/01) <br />C) 1988 -2010 ACORD CORPORATION. All rights reserved. <br />The ACORD name and logo are registered marks of ACORD. <br />Of <br />A r <br />a <br />