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1 <br />ACOR®° <br />AGENCY CUSTOMER ID: PAULUS ENG <br />LOC #: 0 <br />ADDITIONAL REMARKS SCHEDULE <br />JLOPEZ <br />Page 1 of 1 <br />AGENCY <br />Commercial The Brokerage <br />NAMED INSURED g <br />2871 E. Coronado Street <br />Anaheim, CA 92806 <br />POLICY NUMBER <br />SEE PAGE 1 <br />CARRIER <br />NAIL CODE <br />EFFECTIVE DATE:SEE PAGE <br />EE PAGE 1 <br />SEEP 1 <br />THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, <br />FORM NUMBER: ACORD 25 FORM TITLE: Certificate of Liability Insurance <br />Cancellation: <br />*Should this policy be cancelled before the expiration date, The Brokerage, an Alera Group Company will mail 30 (thirty) days written <br />notice to those Certificate Holders which require such action per contract or agreement.* <br />*Except 10 Days Notice of Cancellation for Non -Payment of Premium. <br />1n1 120110111111 <br />© 2008 ACORD CORPORATION. All rights reserved. <br />The ACORD name and logo are registered marks of ACORD <br />