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ACORD 101 (2008/01) <br />The ACORD name and logo are registered marks of ACORD <br />© 2008 ACORD CORPORATION. All rights reserved. <br />THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, <br />FORM NUMBER:FORM TITLE: <br />ADDITIONAL REMARKS <br />ADDITIONAL REMARKS SCHEDULE Page of <br />AGENCY CUSTOMER ID: <br />LOC #: <br />AGENCY <br />CARRIER NAIC CODE <br />POLICY NUMBER <br />NAMED INSURED <br />EFFECTIVE DATE: <br />PUN&M-1 <br />1 1 <br />Burnham WGB Insurance Solutions The Pun Group,LLP <br />200 East Sandpointe Avenue,Suite 600 <br />Santa Ana CA 92707 <br />25 CERTIFICATE OF LIABILITY INSURANCE <br />Work Comp waiver of subrogation applies #WC 00 03 13 <br />RE:PROFESSIONAL AUDITING SERVICES <br />Additional Insured:the City,its officers,employees and agents are named additional insureds under the policy <br />Additional Insured: <br />CITY OF PLEASANTON <br />P.O.Box 520 <br />Pleasanton,CA 94566 <br />DocuSign Envelope ID: DBA61E0D-FB96-4F3C-AE20-C4D7982C06BE