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COLI&SO-01BMARIN <br />AGENCY CUSTOMER ID: <br />1 <br />LOC #: <br />Page of <br />11 <br />ADDITIONAL REMARKS SCHEDULE <br />License # 0757776 <br />AGENCYNAMED INSURED <br />Colich & Sons, LP <br />HUB International Insurance Services Inc. <br />547 West 140th Street <br />Gardena, CA 90248 <br />POLICY NUMBER <br />Gardena <br />SEE PAGE 1 <br />CARRIERNAIC CODE <br />SEE PAGE 1SEE P 1 <br />EFFECTIVE DATE: <br />SEE PAGE 1 <br />ADDITIONAL REMARKS <br />THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, <br />ACORD 25Certificate of Liability Insurance <br />FORM NUMBER:FORM TITLE: <br />Cancellation: <br />* Should the policy(ies) be cancelled before the expiration date, Hub International Insurance Services Inc. (Hub), independent of any <br />rights which may be afforded within the policies to the certificate holder named below, will provide to such certificate holder notice <br />of such cancellation within thirty (30) days of the cancellation date, except in the event the cancellation is due to non-payment of <br />premium, in which case Hub will provide to such certificate holder notice of such cancellation within ten (10) days of the cancellation <br />date. <br />ACORD 101 (2008/01)© 2008 ACORD CORPORATION. All rights reserved. <br />The ACORD name and logo are registered marks of ACORD <br /> <br /> <br />