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ACOR01 <br />`� <br />AGENCY <br />Newfronl Insurance Services <br />POLICY NUMBER <br />CARRIER <br />AGENCY CUSTOMER ID: 00025528 <br />LOC #: <br />ADDITIONAL REMARKS SCHEDULE <br />NAIC CODE <br />THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, <br />FORM NUMBER: 25 FORM TITLE: Certificate of Liability Insurance <br />applies to General Liability <br />NAMED INSURED <br />%sian American Senior Citizens Service Center, Inc <br />EFFECTIVE DATE: <br />Page _ of <br />IF <br />os'„^,•�'�"r REVI DD&APrxoVm Br <br />A+ A&w�M( <br />® Risk Management Specialist <br />101 (2008101) V 2UUa AG V KU U V Kr V KA l lurv. AN Uyl n� r Ve V l <br />The ACORD name and logo are registered marks of ACORD <br />101 (2008101) V 2UUa AG V KU U V Kr V KA l lurv. AN Uyl n� r Ve V l <br />The ACORD name and logo are registered marks of ACORD <br />