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FORM NUMBER: <br />EFFECTIVE DATE: <br />The ACORD name and logo are registered marks of ACORD <br />ADDITIONAL REMARKS <br />ADDITIONAL REMARKS SCHEDULE <br />FORM TITLE: <br />Page of <br />THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, <br />ACORD 101 (2008/01) <br />AGENCY CUSTOMER ID: <br />LOC #: <br />AGENCY NAMED INSURED <br />POLICY NUMBER <br />CARRIER NAIC CODE <br />© 2008 ACORD CORPORATION. All rights reserved. <br />HUB International Insurance Services Inc. <br />CWE0000-01 <br />SEE PAGE 1 <br />1 <br />SEE PAGE 1 <br />ACORD 25 Certificate of Liability Insurance <br />License # 0757776 <br />1 <br />SEE P 1 <br />CWE <br />1561 E. Orangethorpe Avenue <br />Suite 240 <br />Fullerton, CA 92831 <br />SEE PAGE 1 <br />TKARUNA <br />1 <br />Description of Operations/Locations/Vehicles: <br />regard to the General Liability policy, when required by written contract, per endorsement to follow. <br />Additional Insured with regard to Auto Liability when required by written contract per the attached endorsement form #M-5887 <br />(08/2017). Waiver of Subrogation with regard to Auto Liability applies when required by written contract per the attached <br />endorsement form #M-2904 (11/80). <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 endorsement to follow.