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AGENCY CUSTOMER ID: TRUMARN-01 <br />LOC #: 1 <br />J3ATRUSKOWSKI <br />ACORO <br />ikb� <br />ADDITIONAL REMARKS SCHEDULE <br />Page 1 of 1 <br />AGENCY <br />ssuredPartners of New Jersey, LLC dba AssuredPartners of Northeastern PA <br />NAMED INSURED <br />TACenerggyy LLC <br />PO Box 14�1 <br />Texarkana, TX 76504 <br />POLICYNUMBER <br />SEE PAGE 1 <br />CARRIER <br />SEE PAGE 1 <br />NAIC CODE <br />SEE P 1 <br />EFFECTIVE DATE: SEE PAr2E <br />nwnonnnna <br />THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, <br />FORM NUMBER: ACORD 25 FORM TITLE: Certificate of Liability Insurance <br />Description of Operations/LocationsNehlcles: <br />form CG2404 and business auto perform CA0444 This insurance Is primary and non-contributory over any existing insurance and <br />limited to liability arising out of the operations of the named Insured subject to policy terms and conditions on general liability per <br />form CG2001 and business auto perform CA0449. The General Liability will provide 60 day notice of cancellation except for <br />non-payment of premium which shall provide 15 days' notice. Business auto policy contains broadened pollution perform CA9948 <br />and MCS90. Contractual liability addressed on general Iiablity per form CG0001. Pollution Liability Granted on the General Liability <br />and Auto Liability per forms CA 99 48- Pollution Liability -Broadened Coverage for Covered Autos and CG 21 65- Pollution Liability <br />Exception to Hostile Fire and Products and Completed Operations. Excess Liability Coverages are follow form <br />AUUKU 1U1 (2UUtVU1) © 2008 ACORD CORPC <br />The ACORD name and logo are registered marks of ACORD 1 If %u �icsaoa <br />Ruk Ma gc t❑mglAide <br />