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AGENCY CUSTOMER ID: 06510 <br />LOC #: Los Angeles <br />A� ® ADDITIONAL REMARKS SCHEDULE <br />Page 2 of 2 <br />AGENCY <br />NAMEDINSURED <br />Marsh Risk & Insurance ServicesL <br />AECOR <br />AECOM Technical Services, Inca <br />URS Corporation <br />POLICY NUMBER <br />999 W. Town & Country Rd._ <br />Orange, CA 92868 <br />CARRIER <br />NAIC CODE <br />EFFECTIVE DATE: <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 />;L <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 primary and non-contributory over any existing insurance <br />and limited to liability arising out of the operations of the named insured and where required by written contract with respect to the GL coverage. Severability Of InteresUCross Liability is included for General Liability <br />coverage. If the insurer for the General Liability or Automobile Liability policy cancels its policy for any reason other than for non-payment of premium, the insurer will provide 30 days notice of cancellation to those <br />Certificate Holders that require it by written contract, I <br />ACORD 101 (2UU8/U1) © 2008 ACORD CORPORATION. All rights reserved. <br />The ACORD name and logo are registered marks of ACORD <br />REVIEWED BY; �ti El1NICE HEREDIA (PGy OF ) <br />