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AGENCY CUSTOMER ID: VCACONSUL <br />LOCO: <br />ADDITIONAL REMARKS SCHEDULE Page 1 of 1 <br />AGENCY NAMED INSURED <br />Dealey, Renton & Associates VCA Consultants, Inc. <br />(See Case. of Operations for Full Named Insured) <br />POLICYNUMBER 184E W, Orannewood Ave, Suite 200 <br />CARRIER I NAIC CODE <br />EFFECTIVE DATE: <br />ADDITIONAL REMARKS <br />THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, <br />FORM NUMBER: -25 FORM TITLE: CERTIFICATE OF LIABILITY INSURANCE <br />SEVERABILITY OF INTERESTS <br />Separation of Insureds- Except with respect to the Limits of Insurance, and any rights or duties specifically assigned In this Coverage Part to the first Named <br />Insured, this Insurance applies: <br />a. As IFeach Named Insured were the only Named Insured; and <br />b. Separately to each Insured against wham claim Is made or suit Is brought. <br />ACORD 101 (2008101) v V 1 © 2008 ACORD CORPORATION. All rights reserved. <br />The ACORD name and logo are registered marks of ACORD <br />