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AGENCY CUSTOMER ID: BIGBENC-01 <br />LOG #: 1 <br />EHENG <br />ACOR®' <br />ADDITIONAL REMARKS SCHEDULE <br />Page 1 of 1 <br />AGENCY <br />License # OM70471 <br />NAMED INSURED <br />Orion Risk Management Insurance Services, An Alera Group Insurance Agency, LLC <br />BIgg Ben, Inc. <br />MO [Nine Blvd. #105404 <br />Irvine, CA 92620 <br />POLICY NUMBER <br />EE PAGE 1 <br />CARRIER <br />NAIC CODE <br />EE PAGE 1 <br />SEE P 1 <br />EFFECTIVE DATE: SEE PAGE 1 <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/Locations/Vehicles: <br />30 Days Notice of Cancellation with 10 Days Notice for Non -Payment In accordance with the policy provisions. <br />101 <br />© 2008 ACORD CORPORATION. All riahts <br />The ACORD name and logo are registered marks of ACORD <br />