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00017425 <br />AGENCY CUSTOMER ID: <br />LOC #: <br />Pageof <br />ADDITIONAL REMARKS SCHEDULE <br />AGENCYNAMED INSURED <br />Working Wardrobes For A New Start <br />Poms & Associates Insurance Brokers <br />POLICY NUMBER <br />CARRIERNAIC CODE <br />EFFECTIVE DATE: <br />ADDITIONAL REMARKS <br />THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, <br />25Certificate of Liability Insurance <br />FORM NUMBER:FORM TITLE: <br />*This certificate supersedes all previously issued certificates. <br />ACORD 101 (2008/01)© 2008 ACORD CORPORATION. All rights reserved. <br />The ACORD name and logo are registered marks of ACORD <br /> <br />