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AGENCY CUSTOMER ID: 570000052633 <br /> LOC#: <br /> ADDITIONAL REMARKS SCHEDULE Page _ of _ <br /> AGENCY NAMED INSURED <br /> Aon Risk Services Central , Inc. Shade Structures. Inc. <br /> POLICY NUMBER <br /> See Certificate Number: 570109483131 <br /> CARRIER NAIC CODE <br /> See Certificate Number: 570109483131 EFFECTIVE DATE <br /> ADDITIONAL REMARKS <br /> THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, <br /> FORM NUMBER: ACORD 25 FORM TITLE: Certificate of Liability Insurance <br /> Companies Affording coverage <br /> LINE OF BUSINESS DESCRIPTION POLICY NUMBER POLICY POLICY COMPANY NAIC PRIMARY PERCENTAGE. <br /> EFFECTIVE DATE EXPIRATION (YN) OF <br /> (MM/DD/YYYY) DATE FLAG RISK <br /> M1I NI/DD/YYYY <br /> General Liability 000959655 10/1/2024 10/1/2025 James River Insurance 12203 Y 100 <br /> Coverage Company <br /> umbrella Liability 03140086 10/1/2024 10/1/2025 Allied world Assurance 19489 Y 100 <br /> company (us) Inc <br /> Business Auto 152400 0652321A 10/1/2024 10/1/2025 Pennsylvania Manufacturers' 12262 Y 100 <br /> Coverage Assoc Ins Co <br /> Business Auto 152400 0652321E 10/1/2024 10/1/2025 Manufacturers Alliance Ins 36897 Y 100 <br /> Coverage Co <br /> workers compensation 2024750652321 10/1/2024 10/1/2025 Pennsylvania Manufacturers' 12262 Y 100 <br /> Assoc Ins Co <br /> Excess Liability 7040440664 10/1/2024 10/1/2025 Columbia Casualty Company 31127 Y 100 <br /> Coverage <br /> The Subscribing insurers' obligations under contracts of insurance to T,hich they subscribe are several and not joint and are limited solely to <br /> the extent of their individual subscriptions. The subscribing insurers are not responsible for the subscription of any co-subscribing insurer wl <br /> for anv reason does not satisfy all or part of its obligations. <br /> ACORD 101(2008/01) APPROVED „^l e"•• _ - <br /> The ACORD name and logo are registered marks of ACORD <br /> By Cynthia Mora at 12:41 pm, Dec 10, 2024 <br />