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ADRSERV-01BMITROSILIS <br />AGENCYCUSTOMERID: <br />1 <br />LOC#: <br />Pageof <br />11 <br />ADDITIONALREMARKSSCHEDULE <br />License#0633339 <br />AGENCYNAMEDINSURED <br />ADRServices,Inc. <br />OlsonDuncanInsuranceServiceInc. <br />1900AvenueoftheStars#200 <br />LosAngeles,CA90067 <br />POLICYNUMBER <br />SEEPAGE1 <br />CARRIERNAICCODE <br />SEEPAGE1SEEP1 EFFECTIVEDATE: <br />SEEPAGE1 <br />ADDITIONALREMARKS <br />THISADDITIONALREMARKSFORMISASCHEDULETOACORDFORM, <br />ACORD25CertificateofLiabilityInsurance <br />FORMNUMBER:FORMTITLE: <br />DescriptionofOperations/Locations/Vehicles: <br />Policytermsapply. <br />ACORD101(2008/01) <br />©2008ACORDCORPORATION.Allrightsreserved. <br />TheACORDnameandlogoareregisteredmarksofACORD <br /> <br />