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AGENCY CUSTOMER ID: STETENG-01 <br />LOC #: 1 <br />AFRO ADDITIONAL REMARKS SCHEDULE <br />AGENCY <br />GDI Insurance Agency, Inc. <br />POLICY NUMBER <br />SEE PAGE 1 <br />CARRIER <br />SEE PAGE 1 <br />License # OD01900 NAMED INSURED <br />Stetson Engineers, Inc. <br />2171 E. Francisco Blvd, Ste. K <br />San Rafael, CA 94901 <br />NAIC CODE <br />;EE P 1 EFFECTIVE DATE: <br />THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, <br />FORM NUMBER: ACORD 25 FORM TITLE: Certificate of Liability Insurance <br />PROFESIONAL LIABILITY LIMITS <br />EACH CLAIM $2,000,000 AGGREGATE $2,000,000 DEDUCTIBLE $50,000 <br />RBUCK <br />Page 1 of 1 <br />o "�s Risk Management Division <br />REVIEWED & APPROVED BY: <br />�ILeU�O <br />r Risk Management Specialist <br />ACORD 101 (2008/01) © 2008 ACORD <br />The ACORD name and logo are registered marks of ACORD <br />