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AGENCY CUSTOMER ID: HSWHOLD-01 <br /> LOC#: 6.1.C. - Page 17 <br /> 8 <br /> A`ORO ADDITIONAL REMARKS SCHEDULE Page of <br /> AGENCY NAMED INSURED <br /> The Graham Company Hoffman Southwest Corp. <br /> P y 23311 Madero Street <br /> POLICY NUMBER Mission Viejo CA 92691 <br /> CARRIER 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 (03/16) <br /> HOLDER: City of Redwood City Engineering Division <br /> ADDRESS:P.O.Box 391 Redwood City CA 94064 <br /> The City of Redwood City, its council members, officers, boards, commissions, employees <br /> and agents are additional insureds on the above General Liability, Auto Liability and <br /> Excess Liability Policies if required by written contract. <br /> Coverage provided to the Additional Insureds shall apply on a Primary / Non-Contributory <br /> Basis on the above General Liability, Auto Liability and Excess Liability policies if <br /> required by written contract. <br /> Prior to loss, and if required by written contract, Waiver of Subrogation is provided on <br /> General Liability, Auto Liability, Excess Liability and Workers Compensation Policies for <br /> work performed under contract if permissible by state law. <br /> Should any of the above described policies be cancelled before the expiration date <br /> thereof, The Graham Company will endeavor to mail 30 days written notice to the <br /> certificate holder, but failure to do so shall impose no obligation or liability of any <br /> kind upon The Graham Company, its agents or representatives. <br /> ACORD 101 (2008/01) ©2008 ACORD CORPORATION. All rights reserved. <br /> The ACORD name and logo are registered marks of ACORD ADDENDUM <br /> 29190190 1 HSWHOLD-01 1 15/16 GL AU XS WC 1 Stephanie Hughes 1 3/28/2016 4:42:24 PM (EDT) 1 Page 2 of 12 <br />