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1 <br />ACORO' <br />161� <br />AGENCY CUSTOMER ID: RINCCON-01 <br />LOC #: 1 <br />ADDITIONAL REMARKS SCHEDULE <br />N - 2018 •(f:)C,)O <br />PRIETOP <br />Page 1 of 1 <br />AGENCY <br />License # OE67768 <br />NAMED INSURED <br />Legends Environmental Ins. Services <br />210 N Ashwood Aver Inc. <br />Ventura, CA 93033 <br />POLICY NUMBER <br />EEPAGEI <br />CARRIER <br />NAIC CODE <br />EE PAGE 1 <br />SEE P 1 <br />EFFECTIVE DATE: SEE PAGE 1 <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/LocationslVehicles: <br />-1111 & HA99160312. Excess policy follows General Liability, Auto Liability and Employers Liability form. 30 Days Notice of <br />Cancellation with 10 Days Notice for Non -Payment of Premium in accordance with the policy provisions. <br />101 (2008/01) <br />Purge 2 <br />© 2008 ACORD CORPORATION. All rights reserved. <br />The ACORD name and logo are registered marks of ACORD <br />/a <br />