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AGENCY CUSTOMER ID: INSIPAR-02 <br /> LOC#: <br /> ,a`oRo ADDITIONAL REMARKS SCHEDULE Page 1 of 1 <br /> AGENCY NAMED INSURED <br /> Alliant Insurance Services, Inc. CivicPlus, LLC and its direct and indirect subsidiaries <br /> (Refer to Named Insured Schedule) <br /> POLICY NUMBER 302 S.4th Street Suite 500 <br /> Manhattan KS 66502 <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 /> Liability, Cyber/Tech E&O Liability and Workers'Compensation policies as required by written contract subject to the policy terms and conditions.30 days notice <br /> of cancellation applies,except non payment of premium which is 10 days,in accordance with the terms and conditions of the policy. <br /> ACORD 101 (2008/01) ©2008 ACORD CORPORATION. All rights reserved. <br /> The ACORD name and logo are registered marks of ACORD <br />