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AGENCY CUSTOMER ID: MARKT-1 <br />LOC #: <br />Page of <br />AGENCY <br />Asero Insurance Services <br />NAMED INSURED <br />Mark Thomas & Company Inc. <br />2290 North First Street, Lte 304 <br />Suite <br />San Jose CA 95131 <br />POLICY NUMBER <br />CARRIER <br />I <br />NAIC CODE I <br />I <br />EFFECTIVE DATE: <br />---I I lwllmM� <br />THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, <br />FORM NUMBER: 25 FORM TITLE: Certificate of Liability (03/16) <br />HOLDER: City of Santa Ana <br />ADDRESS: 20 Civic Center Plaza Santa Ana CA 92702 <br />THIS PAGE INTENTIONALLY LEFT BLANK <br />REVIEWED BY: zLJNICE HEREDIA (PG3 OF <br />AUUKL) 1U1 (ZUUZ51U1) @ 2008 ACORD CORPORATION. All rights reserved. <br />The ACORD name and logo are registered marks of ACORD ATTACHMENT <br />37739296 1 HARFI-1 [ 1"7/18 M8.5ter Certificate I Stephanie Scheller 1 9/15/2017 10:21:21 AIH (PLIT) I Page 3 of 10 <br />