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AGENCY CUSTOMER ID: ORANCOU-19 <br />_ LOC M <br />A� ADDITIONAL REMARKS SCHEDULE Page 1 of 1 <br />AGENCY <br />Arthur J. Gallagher & Co. <br />NAMED INSURED <br />Orange County Conservation Corps <br />1853 N. Raymond Ave. <br />Anaheim CA 92801 <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 />Policy: Professional Liability <br />Policy #: PAC 5154680 13 <br />Carrier :Great American Alliance Insurance Co NAIC: 26832 <br />Term: 10/01/2017-10/01/2018 <br />Each Occ:1,000,000 <br />Aggregate: 3,000,000 <br />Evidence of Coverage. <br />rlahts reserved. <br />The ACORD name and logo are registered marks of ACOR <br />REVIEWEDBY: EUNICE HEREDIA(PG ZtiF ) <br />