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ACORO' <br />`/' <br />N —2 QEjC8U~b1i0 6 0RINCCON-01 <br />LOC #: 1 <br />ADDITIONAL REMARKS SCHEDULE <br />LUELFA <br />Page 1 of 1 <br />AGENCY <br />Legends Environmental Ins. Services <br />License # OE6776a <br />NAMED INSURED <br />210 N Ashwood Aver Inc. <br />Ventura, CA 93033 <br />POLICY NUMBER <br />EE PAGE 1 <br />CARRIER <br />EE PAGE 1 <br />NAIC CODE <br />SEE P 1 <br />EFFECTIVE DATE: SEE PAGE 1 <br />Icviriumcra■ <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/LocationsNehicles: <br />1111, EN0320.0211, EN0321-0211 & HA99160312. Liability Coverage is Primary and Non -Contributory as required by written contract, <br />per endorsement EN0147-1111 & HA99160312. Excess policy follows General Liability, Auto Liability and Employers Liability form. <br />30 Days Notice of Cancellation with 10 Days Notice for Non -Payment of Premium in accordance with the policy provisions. <br />iniignnamiI <br />lJ� <br />s/ci//8, Pati 09" <br />2 Dnna er•nwn enwonwennu eu �..�.�� .e�e...ew <br />The ACORD name and logo are registered marks of ACORD <br />