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ARDURRA-01KMCGUFFIN <br />AGENCY CUSTOMER ID: <br />0 <br />LOC #: <br />Page of <br />11 <br />ADDITIONAL REMARKS SCHEDULE <br />AGENCYNAMED INSURED <br />Ardurra Group, Inc. <br />Ames & Gough <br />1000 N.W. 57th Court, Suite 800 <br />Miami, FL 33126 <br />POLICY NUMBER <br />SEE PAGE 1 <br />CARRIERNAIC CODE <br />SEE PAGE 1SEE P 1 <br />EFFECTIVE DATE: <br />SEE PAGE 1 <br />ADDITIONAL REMARKS <br />THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, <br />ACORD 25Certificate of Liability Insurance <br />FORM NUMBER:FORM TITLE: <br />Description of Operations/Locations/Vehicles: <br />permissible by state law and when required by written contract. Umbrella Liability coverage sits excess over General Liability, <br />Automobile Liability and Employers’ Liability coverage. 30-day Notice of Cancellation will be issued for the General Liability, <br />Automobile Liability, Umbrella Liability, Workers Compensation and Professional Liability policies in accordance with policy terms <br />and conditions. Professional Liability policy includes a waiver of subrogation in favor of any person or entity to the extent the <br />insured had a written agreement to waive such rights prior to a claim or circumstance. <br />ACORD 101 (2008/01)© 2008 ACORD CORPORATION. All rights reserved. <br />The ACORD name and logo are registered marks of ACORD <br /> <br />