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AGENCY CUSTOMER ID: WEBER -7 <br />_ LOC #: <br />AC ADDITIONAL REMARKS SCHEDULE <br />Page 1 of 1 <br />AGENCY <br />NAMED INSURED <br />Levitt & Touche' Inc - Tempe <br />Weber Water Resources CA, LLC <br />237 W Orange Show Lane <br />San Bernardino CA 92408 <br />POLICY NUMBER <br />CARRIER <br />NAIC 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 />forms:UGL-1466-D CW 12-13, UGL-1465-D CW 12-13, UGL1327-B CW 04/13, CG2503 05/09, CG2404 05/09, CA2048 <br />02/99, CA0444 03/10, WC040306 04/84, UGL1114-A CW 10/02, UCA-1114A, U -WC -332-A) <br />Re: RFP No. 16-090. Water well casing, pump and motor rehabilitation, repair, replacement and related <br />services for the City of Santa Ana at various locations within the City. <br />© 2008 ACORD CORPORATION. All rights reserved. <br />The ACORD name and logo are registered marks of ACORD <br />