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AGENCY CUSTOMER ID: LEEDELE-01 <br />JLOPEZ <br />AC®R®® <br />LOC #: <br />ADDITIONAL REMARKS SCHEDULE <br />Page 1 of 1 <br />AGENCY <br />NAMED INSURED <br />Electric, Inc. <br />CommercialLeed <br />The Brokerage <br />9 <br />13138 Arctic Circle <br />1313 <br />Santa Fe Springs, CA 90670 <br />POLICY NUMBER <br />EE PAGE 1 <br />CARRIER <br />NAIC CODE <br />EFFECTIVE DATE: SEE PAGE 1 <br />SEE PAGE 1 <br />SEE P 1 <br />THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, <br />FORM NUMBER: ACORD 25 FORM TITLE: <br />Cancellation: <br />*Should this policy be cancelled before the expiration date, The Brokerage, an Alera Group Company will mail 30 (thirty) days written <br />notice to those Certificate Holders which require such action per contract or agreement.* <br />*Except 10 Days Notice of Cancellation for Non -Payment of Premium. <br />ACORD 101 <br />© 2008 ACORD CORPORATION. All rights reserved. <br />The ACORD name and logo are registered marks of ACORD <br />