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AGENCY CUSTOMER ID: DAVITAU-01 <br />LOC #: 1 <br />LBURRILL <br />AC"RV <br />�a � <br />ADDITIONAL REMARKS SCHEDULE <br />Page 1 of 1 <br />AGENCY <br />NAMED INSURED <br />crisure Southwest Partners Insurance Services, LLC <br />David Taussig & Associates Inc. <br />dba DTA <br />1820 Von Karman <br />Suite 220 <br />POLICY NUMBER <br />SEE PAGE 1 <br />Irvine, CA 92612 <br />CARRIER <br />NAIC CODE <br />SEE PAGE 1 <br />SEE P 1 <br />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 />CERTIFICATE HOLDER IS NAMED AS ADDITIONAL INSURED. <br />- A/I ATTACHED. <br />ACORD 101 (2008/01) © 2008 ACORD CORPORATION. All rights reserved. <br />The ACORD name and logo are registered marks of ACORD <br />