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© 1988-2016 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2016/03)The ACORD name and logo are registered marks of ACORD <br />This Additional Remarks form is a schedule to ACORD form, <br />Form Number:Form Title Benevate - Orange <br />County Housing Department COI <br />INSR <br />LTR TYPE OF INSURANCE ADDL <br />INSD <br />SUBR <br />WVD POLICY NUMBER POLICY EFF <br />(MM/DD/YYYY) <br />POLICY EXP <br />(MM/DD/YYYY)LIMITS <br />A Employment Practices <br />Liability Insurance 10 SBA AJ1MSR 01/18/2023 01/18/2024 $ 25,000 per occ <br />$25,000 in agg <br />D Directors & Officers CML-M24DWM-B22 01/18/2023 01/18/2024 $ 2,000,000 per occ <br />$2,000,000 in agg <br /> <br /> <br />ADDITIONAL REMARKS <br />ADDITIONAL REMARKS SCHEDULE <br />Intermediary <br />Insured <br />Policy Number <br />Insurer <br />Effective Date <br />DocuSign Envelope ID: 6F63C4B7-5267-4E60-BA02-25D6B13BE7C6