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AGENCYCUSTOMERID: CM101925409 <br />LOC f- Charlotte <br />ACCWta ADDITIONAL REMARKS SCHEDULE Page 2 of 2 <br />AGEIICY <br />SAM=_c N&URED <br />MOR51-1 LIS&Fir <br />BAW OFAIOERIOt CORPOHATrN <br />AND ANY AND J41 SLEINDVOES <br />MM1L COCE IIC1-0211--1601 <br />POLKY NUMBER <br />150 NORTH COLLEGE TFRIEET <br />ChnRLOTIE NC 2%3? 5 <br />CMRIBR <br />NAIC CODE <br />EFFBCT74E GATE: <br />THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM. <br />FORM NUMBER: 25 FORM TrrLE: Certificate of Liability Insurance <br />EmrsS 0.66on :..ilege elFn—dI nScns. <br />Not:Lhh n, Faredwih Side&1C050.EPL.F&ciaiy Side B.Fn.wW InsbhSm gold, end Nerolk °n'n!'-Cuelvlr riFn IFese lslrrs does rak neWde nvnhnerf <br />Eanldng!!&!) --x e. <br />ACORD 101 R2008AI1 j D 20011 ACORD CORPORATION_ All rights reserved_ <br />The ACORD name and logo are registered marks of ACDRD <br />