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AGENCY CUSTOMER ID: BIGBENC-01 <br />KGOAD <br />LOC #: 1 <br />A 0, ADDITIONAL REMARKS SCHEDULE <br />Page 1 of 1 <br />AGENCY License # OM70471 <br />NAMED INSURED <br />Orion Risk Management Insurance Services, An Alera Group Insurance Agency, LLC <br />Bigg Ben, Inc. <br />4790 Irvine Blvd. #105-404 <br />Irvine, CA 92620 <br />POLICY NUMBER <br />EE PAGE 1 <br />CARRIER <br />NAIC CODE <br />,SEE PAGE 1 <br />SEE P 1 <br />EFFECTIVE DATE: SEE PAGE 1 <br />ADDITIONAL REMARKS <br />THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, <br />FORM NUMBER: ACORD 25 FORM TITLE: Certificate of Liability Insurance <br />Description of Operations/LocationsNehicles: <br />30 Days Notice of Cancellation (non -reporting if applicable) apply per policy provisions. <br />ACORD 101 (2008/01) © 2008 ACORD COR ....R IdA.n ,gemen1OY i-lAadc � I <br />The ACORD name and logo are registered marks of ACORD <br />