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AGENCY CUSTOMER ID: <br /> _ LOC#: <br /> ADDITIONAL REMARKS SCHEDULE Page of <br /> AGENCY NAMED INSURED <br /> NEW TOWN INSURANCE AGENCY Xanadu Service System,Inc clo Bruce Hwang <br /> POLICY NUMBER <br /> CARRIER NA1C CODE <br /> EFFECTIVE GATE: <br /> ADDITIONAL REMARKS <br /> THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, <br /> FORM NUMBER: 25 FORM TITLE: Certificate of Liability Insurance <br /> Certificate holder is listed as an Additional insured and Waiver of Subrogation Holder. <br /> ACORD 101(2008101) ©2008 ACORD CORPORATION.All rights reserved. <br /> The ACORD name and logo are registered marks of ACORD <br />