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AGENCY CUSTOMER ID: CWE0000-01 <br />LOC #: 1 <br />KSITYAMALA <br />AFRO <br />ADDITIONAL REMARKS SCHEDULE <br />AGENCY <br />HUB International Insurance Services Inc. <br />POLICY NUMBER <br />SEE PAGE 1 <br />CARRIER <br />SEE PAGE 1 <br />LDDITIONAL REMARKS <br />License # 0757776 NAMED INSURED <br />CWE <br />1561 E. Orangethorpe Avenue <br />Suite 240 <br />Fullerton, CA 92831 <br />NAIC CODE <br />>EE P 1 EFFECTIVE DATE: <br />THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, <br />FORM NUMBER: ACORD 25 FORM TITLE: Certificate of Liability Insurance <br />Page 1 of 1 <br />Description of Operations/Locations/Vehicles: <br />Aggregate applies with regard to the General Liability policy, when required by written contract, per the attached endorsement form <br />#EN0301 09114. <br />Waiver of Subrogation with regard to Auto Liability applies when required by written contract per the attached endorsement form <br />#MCA85100817CA. <br />Waiver of Subrogation with regard to Workers Compensation applies when required by written contract per the attached <br />endorsement form WC990315A Ed. 05-2023. <br />Waiver of Subrogation with regard to Professional Liability applies when required by written contract per the attached endorsement <br />form #EN0109-0211. <br />ACORD 101 (2008/01) © 2008 ACORD CORPORATION. All rights reserved. <br />The ACORD name and logo are registered marks of ACORD <br />