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AGENCY CUSTOMER ID: PAULUS ENG <br />LOC #: 0 <br />JLOPEZ <br />AFRO <br />ADDITIONAL REMARKS SCHEDULE <br />Page 1 of 1 <br />AGENCY <br />THE BROKERAGE COMMERCIAL INSURANCE SERVICES, Inc. <br />NAMED INSURED <br />Paulus Engineering Inc. <br />2871 E. Coronado Street <br />Anaheim, CA 92806 <br />POLICY NUMBER <br />EE PAGE 1 <br />CARRIER <br />,SEE PAGE 1 <br />NAIC CODE <br />SEE P 1 <br />EFFECTIVE DATE: SEE PAGE 1 <br />ADDITIONAL REMARKS <br />THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, <br />FORM NUMBER: ACORD 25 FORM TITLE: Certificate of Liability Insurance <br />Cancellation: <br />*Should this policy be cancelled before the expiration date, The Brokerage Commercial Insurance Services, Inc. will mail 30 (thirty) <br />days written notice to those Certificate Holders which require such action per contract or agreement.* <br />*Except 10 Days Notice of Cancellation for Non -Payment of Premium. <br />ACORD 101 (2008/01) © 2008 ACORD CO <br />The ACORD name and logo are registered marks of ACORD <br />HORaN RiskMwagementDMsian <br />REVIEWED & APPROVED BY. - <br />Risk Management Analyst <br />