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AGENCY CUSTOMER ID: <br /> LOC#: <br /> '4CQQ ADDITIONAL REMARKS SCHEDULE Page of <br /> AGENCY NAMED INSURED <br /> Millennium Risk Management&Insurance Services TRUELINE CONSTRUCTION&SURFACING <br /> POLICYNUMBER <br /> CARRIER NAIC CODE <br /> EFFECTIVE DATE: <br /> ADDITIONAL REMARKS <br /> THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, <br /> FORM NUMBER: 25 FORM TITLE: Certificate of Liability Insurance:Notes <br /> Rented/Leased Equipment: Carrier:Ohio Security Ins Company/Policy#:BKS56945605/Term:07/25/2025 to 07/25/2026/Limit:$25,000 with$1,000 <br /> deductible <br /> Pollution Liability: Carrier:Hanover Specialty Ins Brokers,Inc./Policy Term:712512025-712 5120 26/Pol#:RO-SPEC207-03/Limit:$2,000,000 Per <br /> Occurrence/$2,000,000Aggregate w/$5,000 deductible <br /> Installation Floater:Carrier:Ohio Security Ins Company/Policy#:BKS56945605/Term:07/25/2025 to 07/25/2026/Limit:$25,000 with$1,000 <br /> deductible <br /> ACORD 101 (2008101) © 2008 ACORD CORPORATION. All rights reserved. <br /> The ACORD name and logo are registered marks of ACORD <br />