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AGENCY CUSTOMER ID: 00029446 <br /> LOC#: <br /> AC o® ADDITIONAL REMARKS SCHEDULE Page 2 of <br /> AGENCY NAMED INSURED <br /> EZ Insurance Services, Inc CABIFORNIA INC. <br /> POLICY NUMBER <br /> N/A <br /> CARRIER NAIC CODE <br /> Multiple Carriers EFFECTIVE DATE: <br /> ADDITIONAL REMARKS <br /> THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, <br /> FORM NUMBER: 25 FORM TITLE: Certificate of Liability Insurance <br /> Vehicles Summary <br /> # Year Make Model VIN Fleet ID Co Vehicle# <br /> 1 2020 RAM 1500 BIG H 1C6RREFG5LN333680 1 <br /> Locations Summary <br /> Loc# Description Address <br /> Location 1 26611 NACCOME DR MISSION VIEJO,CA 9269 <br /> Location 1 26611 NACCOME DR MISSION VIEJO,CA 92691 <br /> RiskManagementDivision <br /> `4 REVIEWED&APPROVED BY: <br /> , <br /> -- Risk Management Specialist <br /> ACORD 101 (2008/01) ©2008 ACORD/ <br /> The ACORD name and logo are registered marks of ACORD <br /> Printed by EGG on August 01,2024 at 09:38AM <br />