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AGENCY CUSTOMER ID: <br /> LOC#: <br /> ACCOR 0 ADDITIONAL REMARKS SCHEDULE Page 1 of 1 <br /> AGENCY NAMED INSURED <br /> Arthur J. Gallagher Risk Management Services, LLC Thirkettle Corporation <br /> dba Aqua-Metric Sales Company <br /> POLICY NUMBER 4050 Flat Rock Drive <br /> Riverside CA 92505 <br /> CARRIER 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 /> employer's liability per policy form.30 days'notice of cancellation,except 10 days for non-payment.Waiver of subrogation in favor of Additional Insureds applies <br /> to the Pollution Liability per policy form. <br /> ACORD 101 (2008101) ©2008 ACORD CORPORATION. All rights reserved. <br /> The ACORD name and logo are registered marks of ACORD <br />