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AGENCY CUSTOMER ID: 00016664 <br /> LOC#: <br /> ACORDADDITIONAL REMARKS SCHEDULE Page of <br /> AGENCY NAMEDINSURED <br /> Northern Kentucky Insurance Super Birthday,Inc <br /> POLICY NUMBER <br /> CARRIER NAIC CODE <br /> EFFECTIVE DATE: <br /> ADDITIONAL REMARKS <br /> THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, <br /> FORM NUMBER: 25 FORM TITLE: Certificate of Liability Insurance <br /> Location:Santa Ana Public Library 26 Civic Center Plaza,Santa Ana,CA 82701 <br /> ACORD 101(2008101) © 2008ACORD CORPORATION. All rights reserved. <br /> The ACORD name and logo are registered marks ofACORD <br />