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AGENCY CUSTOMER ID: INLAMOV-02 NCHUNG <br />LOC M 1 <br />. III ADDITIONAL REMARKS SCHEDULE Page 1 of 1 <br />AGENCY <br />License#0757776 <br />NAMED INSURED <br />HUB International Insurance Services Inc. <br />Inland Moving 8 Storage, Inc. <br />dba: Burgess Moving and Storage <br />POLICY NUMBER <br />P.O. BOX 26 <br />Riverside, CA 92502 <br />EE PAGE 1 <br />CARRIER <br />NAIL CODE <br />EE PAGE 1 <br />SEE P 1 <br />EFFECTIVE DATE: SEE PAGE I <br />THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, <br />FORM NUMBER: ACORD 25 FORM TITLE: Certificate of Liability Insurance <br />Description of Operations/Locations/Vehicles: <br />endorsement form 014108 04118. <br />Should the policies be cancelled before the expiration date, Hub International Insurance Services Inc. (Hub), independent of any <br />rights which may be afforded within the policies to the certificate holder named below, will provide to such certificate holder notice <br />of such cancellation within thirty (30) days of the cancellation date, except in the event the cancellation is due to non-payment of <br />premium, in which case Hub will provide to such certificate holder notice of such cancellation within ten (10) days of the cancellation <br />date. <br />ACORD 101 (2008101) © 2008 ACORD CC <br />The ACORD name and logo are registered marks of ACORD <br />xlele Marugelna t DlWslm <br />Ren's, <br />l®�)' <br />A& <br />Risk Management SpedMist <br />