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AGUNCY CUSTOMER ID; SERVICE FI JEANA <br />ADDITIONAL REMARKS SCHEDULE Page 1 of 1 <br />WHO <br />110 <br />5E_E PASSE 1 <br />-,._____----------------- <br />.---- <br />.] aAIC Cena <br />312E PACE 1 SEE P 1 <br />THIS AbOITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, <br />FORM NUMBER: A6009.91 FORM TITLE: Cattlllcate of LlohiiN lnsuranoe <br />Cancellation: <br />"Except for 1 S days notice of cancellation for non payment of premium. <br />*Should this policy be cancelled before the expiration date, The Wooditch Company will mall 30 (thirty) daya written notice to those <br />Certificate Holders which require such action per contract or agreement,* <br />The ACORD name and logo are registered marks of ACORD <br />aRick ManagmmanE Aiadcm <br />,:REVIEWEn&ArPaoven OrFAA$O c Z vabwd <br />t hk MAnayclmnt Analyst <br />