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AGENCY CUSTOMER ID: 00017425 <br />LOC #: <br />ADDITIONAL REMARKS SCHEDULE Page of <br />AGENCY <br />Poms & Associates Insurance Brokers <br />NAMED INSURED <br />Working Wardrobes For A New Start <br />POLICY NUMBER <br />CARRIER <br />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 />certificate supersedes all previously issued certificates. <br />Riek Mw agernenf DMsian <br />�?- REVIEWED & APPRCYVED BY: <br />® Risk P.1anagement Specialist <br />ACORD 101 (2008/01) © 2008AC <br />The ACORD name and logo are registered marks of ACORD <br />