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AGENCY CUSTOMER ID: <br />LOC #: <br />ACC)R U ADDITIONAL REMARKS SCHEDULE <br />Page 1�_ of 1 <br />AGENCY <br />NAMED INSURED <br />Dealey, Renton & Associates <br />POLICY NUMBER <br />RJM Design Group, Inc. <br />31591 Camino Capistrano <br />San Juan Capistrano CA 92675 <br />CARRIER <br />NAIC CODE <br />EFFECTIVE DATE: <br />THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, <br />FORM NUMBER: 25 _.. FORM TITLE: CERTIFICATE OF LIABILITY INSURANCE <br />of Insureds - general liability <br />respect to the Limits of Insurance, and any rights or duties specifically assigned in this Coverage Part to the first Named Insured, <br />were the only Named Insured; and b. Separately to each insured against whom claim is made or suit Is brought. <br />�s 'rO ?O <br />P �fOROK e <br />t City Att°rn Y <br />Pssistan <br />2008 ACORD CORPORATION. All rights reserved. <br />The ACORD name and logo are registered marks of ACORD <br />