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ac Rd <br />AGENCY CUSTOMER ID: 00003044 <br />LOC #: <br />ADDITIONAL REMARKS SCHEDULE <br />Page 2 of 3 <br />AGENCY <br />The Master Insurance Agency, Inc. NAMED INSURED <br />Softmaster, Inc. <br />POUCYMAWR <br />CARRIER NAIL CODE <br /> EFFECTIVE DATE: <br />A V UI f iV NAL REMARKS <br />THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, <br />FORM NUMBER: 25 FORM TITLE: Certificate of Liability Insurance <br />(continued from Description of Operations) <br />23 Peters Canyon Rd <br />Irvine, CA 82606 <br />-30 Days Notice should the policy cancel for non-payment <br />ACORD 101 (2008101) 02008 ACORD CORPORATION. All rights reserved. <br />The ACORD name and logo are registered marks d ACORD <br />Printed by ADK an September 24, 2012 at 09:28AM