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AGENCY CUSTOMER ID: 570000063611 <br />i'1 ® LOC #: <br />`L-R® ADDITIONAL REMARKS SCHEDULE Page _ of <br />AGENCY NAMED INSURED <br />ACT Risk Services Northeast, Inc. VCA, Inc. <br />POLICY NUMBER <br />See Certificate Number: 570091548952 <br />CARRIER NAIC CODE <br />See Certificate Number: 570091548952 EFFECTIVE Care <br />rnvvn ivr4.L ncrvuanno <br />THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, <br />FORM NUMBER: ACORD 25 FORM TITLE: Certificate of Liaelifv Insuranne <br />Effective January 1, 2022 - January 1, 2023 <br />Underwriting Company - Liberty Insurance Corp. <br />NAMED INSURED <br />Animal Healthcare of Kansas, P.A. <br />Animal Healthcare of North Carolina, P.C. <br />Animal Healthcare of Rhode Island, PC <br />Animal Healthcare of Texas, P.C. <br />Companion Pet services of Alabama, P.C. <br />Manhattan Veterinary Group, P.C. <br />Pay It Forward II, PC <br />Pet services of District of Columbia, P.C. <br />Pet Services of Idaho, P.C. <br />Pet services of Michigan, P.C. <br />Pet Services of Minnesota, P.C. <br />Pet services of Nebraska, P.C. <br />Pet Services of New Jersey, P.C. <br />Pet services of Washington, P.s. <br />Pet Services of West Virginia, Inc. <br />Veterinary Healthcare of New Hampshire, P.C. <br />Pet Services of Vermont, P.C. <br />Pet Services of Maine, P.C. <br />Pet services of Louisiana, <br />A Professional Corporation <br />e <br />1CORD 101 (20OW01I <br />Compensation Policies <br />POLICY NUMBER <br />WA7-63D-504078-672 <br />WA7-63D-504078-662 <br />WA7-63D-504078-652 <br />WA7-63D-504078-642 <br />WA7-63D-504078-612 <br />WA7-63D-504078-602 <br />WA7-63D-504078-592 <br />WA7-631)-504078-582 <br />WA7-63D-504078-572 <br />WA7-63D-504078-552 <br />WA7-63D-504078-542 <br />WA7-63D-504078-532 <br />WA7-630-504078-522 <br />WA7-63D-504078-512 <br />WA7-63D-504078-502 <br />WA7-63D-504078-492 <br />WA7-63D-504078-482 <br />WA7-63D-504078-472 <br />WA7-63D-504078-562 <br />an gnna nnnnn <br />The ACORD name and logo are registered marks of ACORD <br />