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AGENCY CUSTOMER ID:CWE0000-01 KSITYAMALA <br /> LOC#: 1 <br /> ACORO ADDITIONAL REMARKS SCHEDULE Page 1 of 1 <br /> AGENCY License#0757776 NAMED INSURED <br /> HUB International Insurance Services Inc. CWE <br /> 1561 E.Orangethorpe Avenue <br /> POLICY NUMBER Suite 240 <br /> SEE PAGE 1 Fullerton,CA 92831 <br /> CARRIER NAIC CODE <br /> SEE PAGE 1 SEE P 1 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/Locations/Vehicles: <br /> Aggregate applies with regard to the General Liability policy, when required by written contract, per the attached endorsement form <br /> #EN0301 09114. <br /> Waiver of Subrogation with regard to Auto Liability applies when required by written contract per the attached endorsement form <br /> #MCA85100817CA. <br /> Waiver of Subrogation with regard to Workers Compensation applies when required by written contract per the attached <br /> endorsement form WC990315A Ed. 05-2023. <br /> Waiver of Subrogation with regard to Professional Liability applies when required by written contract per the attached endorsement <br /> form #EN0109-0211. <br /> ACORD 101 (2008/01) ©2008 ACORD CORPORATION. All rights reserved. <br /> The ACORD name and logo are registered marks of ACORD <br />