Laserfiche WebLink
HCISYST-01RSPARKS <br />AGENCY CUSTOMER ID: <br />1 <br />LOC #: <br />Page of <br />11 <br />ADDITIONAL REMARKS SCHEDULE <br />License # 0M70471 <br />AGENCYNAMED INSURED <br />HCI Systems, Inc. <br />Orion Risk Management Insurance Services, An Alera Group Insurance Agency, LLC <br />1354 South Parkside Place <br />Ontario, CA 91761 <br />POLICY NUMBER <br />San Bernardino <br />SEE PAGE 1 <br />CARRIERNAIC CODE <br />SEE PAGE 1SEE P 1 <br />EFFECTIVE DATE: <br />SEE PAGE 1 <br />ADDITIONAL REMARKS <br />THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, <br />ACORD 25Certificate of Liability Insurance <br />FORM NUMBER:FORM TITLE: <br />Description of Operations/Locations/Vehicles: <br />30 day notice of cancellation; 10 day notice for non-payment of premium applies per policy provisions. <br />ACORD 101 (2008/01)© 2008 ACORD CORPORATION. All rights reserved. <br />The ACORD name and logo are registered marks of ACORD <br /> <br />