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AGENCY CUSTOMER ID:GLADGOV-01 LADDANKI <br /> LOC#: 1 <br /> ACORO ADDITIONAL REMARKS SCHEDULE Page 1 of 1 <br /> AGENCY License#0757776 NAMED INSURED <br /> HUB International Insurance Services Inc. Gladwell Governmental Services,Inc. <br /> P.O. Box 62 <br /> POLICY NUMBER Lake Arrowhead,CA 92352 <br /> SEE PAGE 1 <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 /> Should the policies be cancelled before the expiration date, Hub International Insurance Services Inc. (Hub), independent of any <br /> rights which may be afforded within the policies to the certificate holder named below,will provide to such certificate holder notice <br /> of such cancellation within thirty(30) days of the cancellation date, except in the event the cancellation is due to non-payment of <br /> premium, in which case Hub will provide to such certificate holder notice of such cancellation within ten (10) days of the cancellation <br /> date. <br /> ACORD 101 (2008/01) ©2008 ACORD CORPORATION. All rights reserved. <br /> The ACORD name and logo are registered marks of ACORD <br />