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AGENCY CUSTOMER ID: <br />LOC #: <br />ACORp� ADDITIONAL REMARKS SCHEDULE <br />Page 1 of 1 <br />AGENCY <br />NAMED INSURED <br />Progressive Insurance <br />ViaTRON SYSTEMS, INC. <br />18233 S. Hoover Street, <br />POLICY NUMBER <br />Gardena, CA 90248 <br />981679173 <br />CARRIER <br />NAIC CODE <br />EFFECTIVE DATE: 05/24/2024 <br />Progressive Express Insurance Company <br />10193 <br />ADDITIONAL REMARKS <br />THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, <br />FORM NUMBER: 25 FORM TITLE: Certificate of Liability Insurance <br />Additional Coverages <br />Insurance coverage(s) Limits <br />..................................................................................................................... <br />Uninsured/Underinsu red Motorist $1,000,000 Combined Single Limit <br />Liability coverage may not apply to all scheduled vehicles. <br />Additional Information <br />Blanket Waiver of Subrogation in favor of the certificate holder, but only if party to a written waiver agreement executed by the named insured, as <br />required by contract, prior to the occurrence of any loss. The certificate holder is an additional insured if required by written contract executed by the <br />named insured prior to the occurrence of any loss, per blanket Al endorsement. <br />oR,N F Risk ManagmumtDivisian <br />REVIEWED & APPROVED BY: <br />o, z <br />A Acev44 <br />Risk Management Specialist <br />ACORD 101 (2008/01) © 2008 ACORD CORPORATION. All rights reserved. <br />The ACORD name and logo are registered marks of ACORD <br />