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AGENCY CUSTOMER ID: MEKOPRI.01 <br />LOC #: 1 <br />SUPPORT <br />ACORO` <br />ADDITIONAL REMARKS SCHEDULE <br />Page 1 of 1 <br />AGENCY <br />NAMED INSURED <br />IASC Insurance Services, Inc. <br />n Printing, Inc. <br />Hoan MekoYiuong <br />2421 W. First Street <br />Santa Ana, CA 92703 <br />POLICY NUMBER <br />EE PAGE 1 <br />CARRIER <br />NAIL CODE <br />EE PAGE 1 <br />SEE P 1 <br />EFFECTIVE DATE: SEE PAGE 1 <br />REMARKS <br />THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, <br />FORM NUMBER: ACORD 25 FORM TITLE: Certificate of Liability Insurance <br />APPLICABLE HANOVER COVERAGE FORMS: <br />APPLICABLE HANOVER COVERAGE FORMS: <br />COMMERCIAL GENERAL LIABILITY BROADENING ENDORSEMENT 421-2915 06115: <br />ADDITIONAL INSURED BY CONTRACT, AGREEMENT OR PERMIT <br />ADDITIONAL INSURED - PRIMARY & NON-CONTRIBUTORY <br />BLANKET WAIVER OF SUBROGATION <br />COMMERCIAL GENERAL LIABILITY ENHANCEMENT ENDORSEMENT 421-2916 06115: <br />ADDITIONAL INSURED - BROAD FORM VENDORS <br />HANOVER PRIMARY & NON CONTRIBUTORY COVERAGE FORM CG 20 01 04 13 <br />HANOVER - ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - COMPLETED OPERATIONS CIS 20 37 04 13 <br />HANOVER PRIMARY AND NON CONTRIBUTORY - OTHER INSURANCE CONDITION CIS 20 01 04 13 <br />COMMERCIAL AUTO - BUSINESS AUTO COVERAGE BROADENING ENDORSEMENT 461-0155 (9197) <br />BLANKET WAIVER OF SUBROGATION <br />ACORD 101 (2008101) © 2008 ACORD C( <br />The ACORD name and logo are registered marks of ACORD <br />Risk ManagemenE DI%idan <br />REVIEWED <br />& APPROVED BY. <br />�ll�YLJLL!1'a�a� (iLW(O�P <br />Risk Management Speualist <br />