Laserfiche WebLink
AGENCY CUSTOMER lD:CITYNET-02 � — ASUGAHARA <br /> LOG A 'I <br /> ACORD" ADDITIONAL REMARKS SCHEDULE <br /> Page 1 ref 1 <br /> AGENCY Llconso#476 7% NAMED INSUReo <br /> t113 International Insuran_ce Services Inc. Kingdom Causes,Inc.dba City Not <br /> 4608 Atlantic Ave <br /> POLICY NUMBERButts 202 <br /> Egos naei s'CA 9080 --1 sxn <br /> E PAGE 1 <br /> CARRIER... .... - <br /> EE PAGE 1 SEEP 1 srlVcnve WE: GE <br /> ADDITIONAL REMARKS <br /> THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACOND FORM, <br /> FORM NUMBER; ACOftD 2626 FORM TITLE: caryffcate of Uphiiity Insuranaq--- ......_.,..me_µ,. <br /> Description of OporationslLocatlonsNehicies: <br /> Cybor Liability[Coalition Insurance Companyl Claims Madel Retroactive Cate: Full Prior Acts Continuity Date:October 19,2022 1 <br /> $2,000,000 Aggregate lRetention$10,000 <br /> I <br /> I <br /> ACORD 101(20OW01) q 2008 ACORD CORPORATION, All rights reserved. <br /> The ACORD name and logo are registered marks of AGORD <br />