Laserfiche WebLink
AGENCY CUSTOMER ID: PAULUS ENG <br />LOC #: 0 <br />JLOPEZ <br />AFRO <br />ADDITIONAL REMARKS SCHEDULE <br />AGENCY NAMED INSURED <br />THE BROKERAGE COMMERCIAL INSURANCE SERVICES, Inc. Paulus Engineering Inc. <br />2871 E. Coronado Street <br />POLICY NUMBER Anaheim, CA 92806 <br />SEE PAGE 1 <br />CARRIER NAIC CODE <br />SEE PAGE 1 SEE P 1 EFFECTIVE DATE: SEE PA( <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 />Page 1 of 1 <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 />a Norzati� RWtMmVmentDMdon <br />REVIEWED & APPROVED Br <br />ACORD 101 (2008/01) © 2008 ACORD COP fi <br />The ACORD name and logo are registered marks of ACORD+ <br />l <br />� Risk Management Supervisor <br />