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AGENCY CUSTOMER ID:OLIVCRE-01 KDOHMAN <br /> LOC#: 0 <br /> A`C,,,.a�RL7' ADDITIONAL REMARKS SCHEDULE Page 1 of 1 <br /> AGENCY License#0757776 NAMED INSURED <br /> HUB International Insurance Services Inc. Olive Crest <br /> 2130 East Fourth 5t,Suite 200 <br /> POLICY NUMBER Santa Ana,CA 92705 <br /> SEE PAGE 1 <br /> CARRIER NAIC CODE <br /> PEE PAGE 1 SEE P 1 EFFECTIVE DATE:SEE PAGE 1 <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 /> Description of Operations/LocationsIVehicles: <br /> Professional Liability Claims Made 1 Retention$0.00 <br /> Umbrella Liability(Policy No.02-UB-002545-01-07)Goes Over the Auto Liability ONLY <br /> ACORD 101 (2008101) ©2008 ACORD CORPORATION. All rights reserved. <br /> The ACORD name and logo are registered marks of ACORD <br />