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AGENCY CUSTOMER ID: EARTMEC-01 <br /> LOC#: <br /> ,a`oRo ADDITIONAL REMARKS SCHEDULE Page 1 of 1 <br /> AGENCY NAMED INSURED <br /> Assured Partners Design Professionals Insurance Services, LLC Earth Mechanics, Inc <br /> 17800 Newhope St Ste B <br /> POLICY NUMBER Fountain Valley CA 92708 <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 /> Separation of Insureds-Except with respect to the Limits of Insurance,and any rights or duties specifically assigned in this Coverage Part to the first Named <br /> Insured,this insurance applies: <br /> a.As if each Named Insured were the only Named Insured;and <br /> b.Separately to each insured against whom claim is made or suit is brought. <br /> ACORD 101 (2008/01) ©2008 ACORD CORPORATION. All rights reserved. <br /> The ACORD name and logo are registered marks of ACORD <br />