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AGENCY CUSTOMER ID: <br />LOC #: <br />ADDITIONAL REMARKS SCHEDULE Page_ of <br />AGENCY <br />NAMED INSURED <br />BB &T INS SVCS OF CA INC /PHS /ORANGE <br />LYNN CAPOUYA INC <br />POLICY NUMBER <br />SEE ACORD 25 <br />17992 MITCHELL S STE 110 <br />IRVINE CA 92614 <br />CARRIER <br />NAIC CODE <br />EFFECTIVEDATE: SEE ACORD 25 <br />SEE ACORD 25 <br />ADDITIONAL REMARKS <br />THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM <br />FORM NUMBER: ACORD 25 FORM TITLE: CERTIFICATE OF LIABILI'T'Y INSURANCE <br />Certificate Holder is an Additional Insured per the Business Liability Coverage Form <br />SS0008 attached to this policy. Coverage is primary and non - contributory per the <br />Business Liability Coverage Form SS0008 attached to this policy. Notice of <br />cancellation will be provided in accordance with Form SS1223 attached to this policy. <br />ACORD 101 (2014/01) © 2014 ACORD CORPORATION. All rights reserved. <br />-4 Amon <br />1 rie ALIUMV name dnu wyv dic .cyia«. `v ..... ....... ..__ <br />