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C44073447 11/0812024 <br /> AGENCY CUSTOMER ID: 04080 <br /> LOC#: 1 <br /> AC4R© ADDITIONAL REMARKS SCHEDULE Page of <br /> AGENCY NAMED INSURED <br /> Premier Service Insurance Agency MAJ ENGINEERING <br /> POLICY NUMBER 14608 FAWN PAT RD. <br /> CHINO CA 91709 <br /> CARRIER NAIC CODE <br /> Scottsdale Insurance Company 41297 EFFECTIVE DATE: 08/09I?024 <br /> ADDITIONAL REMARKS <br /> THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, <br /> FORM NUMBER: 25 FORM TITLE: Certificate Of Liability Insurance:notes <br /> Coverage:Pollution Liability including Transportation Pollution Liability <br /> Insurer:Scottsdale Insurance Company <br /> Policy Number:CPS4073447 <br /> Policy Term: <br /> Limits:$1,000,000 Per Occurance <br /> $2,000,000 Aggregate <br /> $5,000 Deductible <br /> ACORD 101(2008/01) ©2008 ACORD CORPORATION. All rights reserved. <br /> The ACORD name and logo are registered marks of ACORD <br /> I APPROVED _ __ __ __ <br />