Laserfiche WebLink
00106559 <br />AGENCY CUSTOMER ID: <br />LOC #: <br />Pageof <br />ADDITIONAL REMARKS SCHEDULE <br />AGENCYNAMED INSURED <br />CliftonLarsonAllen LLP <br />North Risk Partners <br />POLICY NUMBER <br />CARRIERNAIC CODE <br />EFFECTIVE DATE: <br />ADDITIONAL REMARKS <br />THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, <br />25Certificate of Liability Insurance <br />FORM NUMBER:FORM TITLE: <br />forms: California WC 99 03 04, Texas WC 42 03 04, All Other States, Except Kentucky WC 00 03 13, when required by prior written agreement. Workers' <br />Compensation coverage is not provided in the following monopolistic states: ND; OH, WA; and WY. <br />ACORD 101 (2008/01)© 2008 ACORD CORPORATION. All rights reserved. <br />The ACORD name and logo are registered marks of ACORD <br /> <br />