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AGENCY CUSTOMER ID: <br /> LOC#: <br /> ,a�oRo ADDITIONAL REMARKS SCHEDULE Page of <br /> AGENCY NAMED INSURED <br /> MJLA Insurance Services, Inc. Learnet Academy, Inc <br /> POLICY NUMBER <br /> CARRIER NAIC CODE <br /> EFFECTIVE DATE: <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 /> 30 days notice of cancellation. <br /> 10 days notice of cancellation for non-payment of premium. <br /> Individual Excluded:Tia J Shin <br /> ACORD 101 (2008/01) ©2008 ACORD CORPORATION.All rights reserved. <br /> The ACORD name and logo are registered marks of ACORD <br />