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AGENCY CUSTOMER ID; 70HERN_SOL <br />LOCO: <br />ACQ V AnnITIONAL REMARKS SCHEDULE Page I of 1 <br />AGENCY <br />NAMED INSURED <br />HSG, LLC <br />Crest Insurance Group, LLC <br />Herndon Solutions Group <br />4001 S. Decatur Blvd.,#37-370 <br />-- - _ - <br />POLICY NUMaER <br />Las Vegas NV 89103 <br />CARRIER <br />NAIC CODE <br />EFFECTIVE DATE: <br />ADDITIONAL REMARKSTHIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, <br />FORM NUMBER: 25 -FORM TITLE: CERTIFICATE OF LIABILITY INSURANCE <br />thjo respective directors, officers, agents, employees, attorneys, consultants and authorized volunteers <br />30 Day Notice of Cancellation Applles. <br />REVIEWED & APPROVEb <br />By RISk MANAGEMENT DIVISION <br />T 7 <br />_ - - 02008 ACORD CORPORATION. All rights reserved. <br />- <br />ACORD 101 (2008/01) .....ems <br />the AGURu name anu ,vyu a, v 1 oe,a.v, om ...r• •• <br />