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<br />AGENCY CUSTOMER ID: IBIGROU-01
<br />LOC #: 1
<br />ADDITIONAL REMARKS SCHEDULE
<br />MMCCARTNEY
<br />Page 1 of 1
<br />AGENCY
<br />HUB International New England
<br />License #1780862
<br />NAMED INSURED
<br />18401 Von Karman Ave. Suite 110
<br />Irvine, CA 92612
<br />POLICY NUMBER
<br />EE PAGE 1
<br />CARRIER
<br />EE PAGE 1
<br />NAIC CODE
<br />SEE P 1
<br />EFFECTIVE DATE: SEE PAGE 1
<br />THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM,
<br />FORM NUMBER: ACORD 25 FORM TITLE: Certificate of Liability Insurance
<br />Description of Operations/LocationsNehicles:
<br />Carrier listing and Item 3A States:
<br />Twin City Fire Insurance Company - NAIC#29459 (AL, AZ, AR, CO, CT, DE, DC, FL, GA, ID, IL, IN, IA, KS, KY,
<br />LA, ME, MD, MA, MI, MN, MS, MT, NH, NE, NM, NV, (ND Stop Gap), (Ohio Stop Gap), OK, OR, PA, RI, SC, SD, TN,
<br />UT, VA, VT, (WA Stop Gap), WI, WV, (WY Stop Gap).
<br />Hartford Underwriters Insurance Company - NAIC#30104 (MO, NC, NJ, TX)
<br />Property & Casualty Ins Co of Hartford - NAIC#29494 (NY)
<br />Sentinel Insurance Company Limited - NAIC#11000 (California)
<br />Reference: IBI Project 30866 Santa Ana General Plan Circulation Element Update
<br />ACORD 101 (2008/01) © 2008 ACORD CORPORATION. All rights reserved.
<br />The ACORD name and logo are registered marks of ACORD
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