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AGENCY CUSTOMER ID: <br />_ LOC M <br />ac`oezca® ADDITIONAL REMARKS SCHEDULE <br />Page 2 of 2 <br />AGENCY <br />NAMED INSURED <br />Willis of New York, Inc. <br />SavbaSafety <br />8814 Horizon Blvd Suite 100 <br />Albuquerque, NM 87113 <br />POLICY NUMBER <br />See Page 1 <br />CARRIER <br />NAIC CODE <br />See Page 1 <br />See Page 1 <br />EFFECTIVE DATE: See Page 1 <br />THIS ADDITIONAL REMARKS FORM 15 A SCHEDULE TO ACORD FORM, <br />FORM NUMBER: 25 FORM TITLE: Certificate of Liability Insurance <br />Waiver of Subrogation applies in favor of Vigillo LLC with respects to General Liability. <br />ACORD 101 (2008101) © 2008 ACORI <br />The ACORD name and toga are registered marks of ACORD <br />SR ID: 16955226 HATCH: 927164 CERT: W8628991 <br />