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AGENCY CUSTOMER ID: 00002280 <br />is LOC #: <br />A ADDITIONAL REMARKS SCHEDULE <br />AGENCY <br />6 Williams Insurance Services <br />POUCYNUMSER <br />D94920218 <br />CARRIER <br />ACE Property and Casualty Insurance Company <br />NAMED INSURED <br />VAN DRUFF PRODUCTIONS, INC. <br />8841 DEEP WELL RD <br />SANTA ANA, CA 92705 <br />NAIC CODE <br />20699 1EFFECTIVEDATE: 0811512019-08/15/2020 <br />THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, <br />FORM NUMBER: 25 FORM TITLE: Certificate of Liability Insurance: Notes <br />EXCLUSIONS LISTED BY POLICY FORM: <br />SOP436030814 <br />EXCLUSION -GENETICALLY MODIFIED ORGANISMS <br />BPO517 0106 <br />EXCLUSION - SILICA OR SILICA -RELATED DUST <br />BP14860713 <br />COMMUNICABLE DISEASE EXCLUSION <br />BP1506 0514 <br />EXCLUSION -ACCESS OR DISCLOSURE OF CONFIDENTIAL OR PERSONAL INFORMATION <br />SOP477380416 <br />EXCLUSION -HEALTHCARE INFORMATION TECHNOLOGY PRODUCTS AND SERVICES <br />SOP485730117 <br />LEAD EXCLUSION <br />BOP47843 0316 <br />EMPLOYMENT -RELATED PRACTICES EXCLUSION <br />BOP460681214 <br />PROPERTY COVERAGE PART EXCLUSION <br />BOP48527 0117 <br />ASBESTOS EXCLUSION <br />BOP503970518 <br />MARIJUANA EXCLUSION <br />REVIEWED & APPROVED <br />By RISk MANAGEMENT DIVISION <br />-0PNER. <br />0 2019 <br />FRANCVILLAREAL <br />Page 01 of 01 <br />the ACORD name and logo are registered marks of ACORD <br />CORPORATION. All <br />