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FORM NUMBER: <br />EFFECTIVE DATE: <br />The ACORD name and logo are registered marks of ACORD <br />ADDITIONAL REMARKS <br />ADDITIONAL REMARKS SCHEDULE <br />FORM TITLE: <br />Page of <br />THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, <br />ACORD 101 (2008/01) <br />AGENCY CUSTOMER ID: <br />LOC #: <br />AGENCY NAMED INSURED <br />POLICY NUMBER <br />CARRIER NAIC CODE <br />© 2008 ACORD CORPORATION. All rights reserved. <br />Fiscus Commercial Insurance Services, Inc. <br />COLLTEC-01 <br />SEE PAGE 1 <br />1 <br />SEE PAGE 1 <br />ACORD 25 Certificate of Liability Insurance <br />1 <br />SEE P 1 <br />Collaborative, Technical & Comprehensive, Security Business Consulting, <br />LLC <br />113 South U St. #46 <br />Lompoc, CA 93436 <br />SEE PAGE 1 <br />PGARCIA <br />1 <br />Description of Operations/Locations/Vehicles: <br />The entity or entities listed in this section is/are hereby named as Additional Insured(s) if required in a written contract or written <br />agreement with the Named Insured. Primary and Non-Contributory provisions apply to the entity or entities listed in this section if <br />required in a written contract or written agreement with the Named Insured. Waiver of Subrogation is in favor of the entity or entities <br />listed in this section if required in a written contract or written agreement with the Named Insured. <br />ENTITY: Orange County <br />DocuSign Envelope ID: CCAAE303-70FA-49DE-B23A-944301EA0EEB