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AGENCY CUSTOMER ID: 10616550 <br />LOC #: <br />A� ADDITIONAL REMARKS SCHEDULE Page 1 of 1 <br />AGENCY NAMED INSURED <br />Aon Risk Insurance services West, Inc. T-Mobile USA, Inc <br />POLICY NUMBER <br />see certificate Number: 570046545973 <br />CARRIER NAIC CODE <br />see certificate Number: 570046545973 EFFECTIVE DATE: <br />ADDITIONAL REMARKS <br />THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, I <br />FORM NUMBER: ACORD 25 FORM TITLE: Certificate of Liability Insurance <br />Additional Description of Operations / Locations / Vehicles: <br />advanced written notice will be mailed or delivered to person(s) or entity(ies) according to "Blanket per <br />List on file" - 30 Days Notification. All other terms and conditions of the Policy remain unchanged, with <br />regard to the General Liability and Automobile Liability policy. See Attached Addendum for Site Information. <br />ACORD 101 (2008/01) © 2008 ACORD CORPORATION. All rights reserved. <br />The ACORD name and logo are registered marks of ACORD <br />