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ACO <br />I --- <br />AGENCY CUSTOMER ID: 22RABAKCON <br />LOC #: <br />ADDITIONAL REMARKS SCHEDULE <br />Page of <br />AGENCY <br />NAMED INSURED <br />Wortham Insurance &Risk Management <br />Raba Kistner Inc 12821 W Golden Ln <br />San Antonio TX 78249 <br />POLICY NUMBER <br />031428157 <br />CARRIER <br />NAIC CODE <br />Lexington Insurance Company <br />19437 <br />EFFECTIVE DATE: 7/18/2012 <br />THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, <br />FORM NUMBER: 25 FORM TITLE: Certificate of Liability (05/10) <br />CERTIFICATE HOLDER: City of San Marcos Engineering & Capital Improvements Dept <br />ADDRESS: 630 E Hopkins San Marcos TX 78666 <br />Additional Named Insureds: <br />Raba Kistner Consultants Inc <br />Raba Kistner Infrastructure Inc <br />Raba Kistner Environmental Inc <br />Raba Kistner Facilities Inc <br />Raba Ingenieros S. de R. L. de C. V. <br />IIV VRU IV1 tLVVOlu 1) <br />© 2008 ACORD CORPORATION. All rights reserved. <br />The ACORD name and logo are registered marks of ACORD ATTACHMENT <br />CERT NO.: 13894650 CLIENT CODE: 22RABAKCON (SA) Cindy Rains 8/20/2012 9:08:16 AM Page 2 of 3 <br />