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�RO® <br />AGENCY CUSTOMER ID: GN102299309 <br />LOCa: Minneapolis <br />ADDITIONAL REMARKS SCHEDULE <br />Page 2 of 2 <br />AGENCY <br />NAMED INSURED <br />Marsh USA Ina <br />International Una Builders, Inc <br />2520 Rubldoux Blvd. <br />PO Box 3039 <br />POLICY NUMBER <br />Morelos, CA 92509 <br />CARRIER <br />NAIL CODE <br />EFFECTNE DATE: <br />THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, <br />FORM NUMBER: 25 FORM TITLE: Certificate of Liability Insurance <br />FxONs kNIryaPoles to general Ilabilty, products and mooted opera leas, automoNle Itablgy, and employers JaMy. <br />Blanket Walmof Subrogation. where allowed by law, epp0es for General Uebl3y (CG 2404), Autemoble UabIDy(GA 0444), and Workers! Compansagon pertheattached endowments. <br />Named Insured is self4mradfor physxeldamage. <br />The My Of Santa Are, Its of0aus,employees,agents, votuMeers and repreaeraallm Islare Included a&Addifforel Insured perm mgetom 8100 atachedY4lh regard to Excess uabifty. <br />ACORD 101 (2008101) © 2008 ACORD CORPORATION. All rights reserved, <br />I no A1:ultu name and logo are registered marks of ACORD <br />