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ACORO` <br />AGENCY CUSTOMER ID: RINCCON-01 <br />LOC #: 1 <br />ADDITIONAL REMARKS SCHEDULE <br />N•2-018,0roo <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 />EE PAGE 1 <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: Certiflcate of Liability Insurance <br />Description of Operations/Locations/Vehicles: <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 />REVIEWED BY: <br />PA E y OF 10 <br />ACORD 101 (2008/01) © 2008 ACORD CORPORATION. All rights reserved. <br />The ACORD name and logo are registered marks of ACORD <br />