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AGENCY CUSTOMER ID: <br /> LOC#: <br /> ADDITIONAL REMARKS SCHEDULE Page 2 of 2 <br /> AGENCY NAMEDINSURED <br /> HILL&USHER INS&SURETYIPHS JOSHUA BOBROVE DBA PHOTOGRAPHY BY JOSHUA <br /> POLICY NUMBER BOBROVE <br /> SEE ACORD 25 2419 VISTA DEL CAMPO <br /> CARRIER NAIC CODE SANTA BARBARA CA 93 1 0 1-4662 <br /> SEE ACORD 25 EFFEcTIVE DATE: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 LIABILITY INSURANCE <br /> Waiver of Subrogation applies in favor of the Certificate Holder per the Business Liability Coverage Form SL0000 Coverage is <br /> primary and noncontributory per the Business Liability Coverage Form SL0000 attached to this policy. CITY WILL BE MAILED <br /> 30 DAYS WRITTEN NOTICE OF POLICY CANCELLATION AND THE REFERENCES "ENDEAVOR TO"AND "FAILURE TO <br /> MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS <br /> OR REPRESENTATIVES" SHALL BE REMOVED OR CROSSED OUT. <br /> ACORD 101 (2014101) ©2014 ACORD CORPORATION.All rights reserved. <br /> The ACORD name and logo are registered marks of ACORD <br />