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JLOPEZ <br />AGENCY CUSTOMER ID: PAULUS ENG <br />LOC #: 6- <br />ADDITIONAL REMARKS SCHEDULE <br />AGENCY NAMED INSURED <br />HE BROKERAGE COMMERCIAL INSURANCE SERVICES, Inc. Paulus Engineering Inc. <br />2871 E. Coronado Street <br />POLICY NUMBER Anaheim, CA 92806 <br />EE PAGE 1 <br />CARRIER NAIC CODE <br />EE PAGE 1 SEE P 1 EFFECTIVE DATE: SEE PAGE 1 <br />THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, <br />FORM NUMBER: ACORD 25 FORM TITLE: Certificate of Liability Insurance <br />Page 1 of 1 <br />Cancellation: <br />*Except 10 Days Notice of Cancellation for Non -Payment of Premium. <br />Should this policy be cancelled before the expiration date, The Brokerage Commercial Insurance Services, Inc. will mail 30 (thirty) <br />days written notice to those Certificate Holders which require such action per contract or agreement.* <br />ACORD 101 <br />REVIEWED & APPROVED <br />By Risk MANAGEMENT DNiSION <br />(n 7nnR ArnRn rnPDnRATInIU All A- . <br />The ACORD name and logo are registered marks of ACORD <br />