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AGENCY CUSTOMER ID: <br /> _ LOC#: <br /> ACC> ADDITIONAL REMARKS SCHEDULE Page 1 of 1 <br /> AGENCY NAMED INSURED <br /> Bakersfield Insurance Agency Good Vibes Mobile Veterinary <br /> POLICY NUMBER 1100 E.4th St. <br /> Long Beach,CA 9C602 <br /> 994394619 <br /> CARRIER NAIC CODE <br /> United Financtal Casualty Company 11770 EFFECTIVE DATE:03/13/2025 <br /> ADDITIONAL REMARKS <br /> THIS ADDITIONAL REMARKS FORM I5 A SCHEDULE TO ACORD FORM, <br /> FORM NUMBER: 25 FORM TITLE: Certificate of Liability Insurance <br /> Additional Coverages <br /> Insurance coverages) Limits <br /> UninsuredlUnderinsured Motorist $100,0001$300,000 <br /> Description of Location/Vehicles/Special Items <br /> Scheduled autos only <br /> ............................................ ..... ........... .............................. <br /> 2018 KIA SOUL KNDJP3A55J7895196 <br /> Comprehensive $500 Ded <br /> Collision $500 Ded <br /> Additional Information <br /> Certi€icato holder is listed as a Waiver of Subrogation Holder. <br /> The Certificate holder is an additional insured if required by written contract executed by the named insured prior to the occurrence of any loss,per <br /> blanket Al endorsement. <br /> The City of Santa Ana,it's city council,officers,officials,employees,agents and volunteers are named as an additional insured. <br /> ACORD 101 (2008101) ©2008 ACORD CORPORATION. All rights reserved, <br /> The ACORD name and logo are registered marks of ACORD <br />