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AGENCY CUSTOMER ID:OCEABLU-06 ADAVIS2 <br /> LOC#: 1 <br /> A�RLY ADDITIONAL REMARKS SCHEDULE Page 1 of 1 <br /> AGENCY License#0757776 NAMED INSURED <br /> HUB International Insurance Services Inc. Ocean West <br /> Esther Environmental Services,Inc. <br /> 925 Wesk Esther Street <br /> POLICY NUM13ER Long Beach,CA 90813 <br /> EE PAGE 1 <br /> CARRIER NAIC CODE <br /> SEE PAGE 1 SEE P 1 EFFECTIVE DATE:SEE PAGE 1 <br /> ADDITIONAL REMARKS <br /> THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, <br /> FORM NUMBER: kcORD 25 FORM TITLE: Certificate of Llability Insurance <br /> Description of Operations/Locations/Vehicles: <br /> policy when required by a written contract,per the attached endorsement form DA13115A 06114.Auto Pollution applies per the <br /> attached form CA9948 10113.Waiver of Subrogation applies with regards to the Workers Compensation policy when required by a <br /> written contract, per the attached endorsement form WC040306 04184. Excess Liability follows form to the General Liability,Auto <br /> Liability and Employers Liability. <br /> MCS-90 applies to the Auto Liability and Excess Liability per the attached forms. <br /> ACORD 101 (2008101) O 2008 ACORD CORPORATION. All rights reserved. <br /> The ACORD name and logo are registered marks of ACORD <br />