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AGENCY CUSTOMER ID: <br />LOC #: <br />ACCW?" ADDITIONAL REMARKS SCHEDULE <br />Pogo 1 of 1 <br />_ <br />AGENCY <br />Dealey, Renton & Associates <br />NAMEDINSURED <br />RJIVI Design Group, Inc. <br />31591 Camino Capistrano <br />San Juan Capistrano CA 92675 <br />POLICY NUMBER <br />CARRIER <br />EFrECTIVE DATE: <br />THIS ADDITIONAL REMARKS FORM oaASCHEDULE TnAconoFORM, <br />FORM NUMBER: 25FORM TITLE: CERTIFICATE OFLIABILITY INSURANCE � <br />Separation of Insureds - general liability <br />Except with respect to the Limits of Insurance, and any rights or duties specifically assigned in this Coverage Part to the first Named Insured, <br />this insurance applies: <br />a. As if each Named Insured were the only Named Insured; and b. Separately to each insured against whom claim is made or suit is brought. <br />AL,uxu`m(Zvvvmn eznooACowoCORPORATION. All rights reserved. <br />