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AGENCY CUSTOMER ID: PALP, INC. <br />LOCM 1 <br />JEANA <br />ACORD0 <br />liil� <br />AGENCY <br />ADDITIONAL REMARKS SCHEDULE <br />POLICY NUMBER <br />3EE PAGE 1 <br />CARRIER NAIC CODE <br />3EE PAGE 1 SEE P 1 <br />THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, <br />FORM NUMBER: ACORD 25 FORM TITLE: Certificate of Liability Insurance <br />Page 1 of 1 <br />INSURED <br />ic. DBA Excel Paving Company; GAP Equipment, LLC <br />anon Avenue <br />leach, CA 90806 <br />EFFECTIVE DATE: <br />Cancellation: <br />"Except 10 days notice of Cancellation for non-payment of premium. <br />"Should this policy be cancelled before the expiration date, The Wooditch Company will mail 30 (thirty) days written notice to those <br />Certificate Holders which require such action per contract or agreement <br />ACORD 101 (2008/01) © 2008 ACORD CORPORATION. All rights reserved. <br />The ACORD name and logo are registered marks of ACORD <br />