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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 />Walsh Carter & Associates Insurance Services, LLC <br />B&DEXCA-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 />B & D Excavation and Construction <br />138 Del Oro Lagoon <br />Novato, CA 94949 <br />SEE PAGE 1 <br />JCASTANEDA <br />1 <br />Description of Operations/Locations/Vehicles: <br />owned, leased,hired or borrowed by the Contractor. The coverage shall contain no special limitations on the scope of protection <br />afforded to the City, its officers, officials, employees or volunteers. The Contractor's insurance coverage shall be primary insurance <br />as respects the City, its officers, officials, employees and volunteers. Any insurance or self-insurance maintained by the City, its <br />officers, officials, employees or volunteers shall be excess of the Contractor's insurance and shall not contribute with it. <br />Docusign Envelope ID: 04A737C7-82FB-446F-A538-58E18C1C0CF6