Laserfiche WebLink
AGENCY CUSTOMER ID: <br /> LOC#: <br /> .4C'Sao <br /> - ADDITIONAL REMARKS SCHEDULE Page 2 of 2 <br /> AGENCY NAMED INSURED <br /> HILL & USHER INS & SURETYIPHS JOSHUA BOBROVE DBA PHOTOGRAPHY BY JOSHUA <br /> POLICYNUMBER BOBROVE <br /> SEE ACORD 25 2419 VISTA DEL CAMPO <br /> CARRIER NAIC CODE SANTA BARBARA CA 93101-4662 <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 /> _.Buell 5ri�rrE <br /> ACORD 101 (2014101) 0 2014 ACORD CORPORATION.All rights reserved. <br /> The ACORD name and logo are registered marks of ACORD <br />