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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: 570116964701 <br /> CARRIER NAIC CODE <br /> See Certificate Number: 570116964701 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 /> EFFECTIVEDATE EXPIRATION (V/N) OF <br /> (MM/I)D/YYYY/ DATE FLAG RISK <br /> MMND/YYYY <br /> General Liability 000959656 10/1/2025 10/1/2026 James River Insurance 12203 Y 100 <br /> Coverage Company <br /> Umbrella Liability 03140086 10/1/2025 10/1/2026 Allied World Assurance 19489 Y 100 <br /> company (us) Inc <br /> Business Auto 152500 0652321 10/1/2025 10/1/2026 Pennsylvania Manufacturers' 12262 Y 100 <br /> Coverage Assoc Ins Co <br /> Workers compensation 2025750652321 10/1/2025 10/1/2026 Pennsylvania Manufacturers' 12262 Y 100 <br /> Assoc Ins Co <br /> Excess Liability 7040440664 10/1/2025 10/1/2026 Columbia casualty company 31127 Y 100 <br /> coverage <br /> The Subscribing insurers' obligations under contracts of insurance to which 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 wF <br /> for anv reason does not satisfy all or part of its obligations. <br /> ACORD 101(2008/01) ©2008 ACORD CORPORATION.All rights reserved. <br /> The ACORD name and logo are registered marks of ACORD <br />