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AGENCY CUSTOMER ID: xx'O <br />LOC #: — <br />ADDITIONAL REMARKS SCHEDULE <br />page 2 of 2 <br />AGENCY <br />Bruce Johansen <br />NAMEDINSURED <br />Bragg Investment Company Inc DBA Coastline Equipment <br />POLICY NUMBER <br />2425473005 <br />CARRIER <br />Sentry Select Insurance Company <br />NAIC CODE <br />21180 <br />EFFECTIVE DATE: 10/0112023 <br />ADDITIONAL REMARKS <br />ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, <br />ACORD 101 (2008/01) © 2008 ACORD Ci <br />2425473 The ACORD name and logo are registered marks of ACORD <br />Sentry Select Insurance Company <br />Ride Management ➢Melon <br />��j� REVIEWED&APPROVmBY: <br />A, fiA,,,,44 <br />Risk Management Specialist <br />