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AGENCY CUSTOMER ID: <br />LOC #: <br />ADDITIONAL REMARKS SCHEDULE <br />AGENCY <br />CS&S/AMBASSADOR GROUP, INC <br />POLICY NUMBER <br />4025961410 <br />CARRIER I NAIC CODE <br />ADDITIONAL REMARKS <br />NAMED INSURED <br />BARD METER SYSTEMS, INC. <br />EFFECT E DATE: 05/01/2011 <br />THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, <br />FORM NUMBER: ACORD 25 (2010/05) FORM TITLE: CERTIFICATE OF LIABILITY INSURANCE <br />Page 1 of 1 <br />ACORD 101 (2008/01) U 2000 ACURO CORNUKA 1 IVN. All rlgnts reservea. <br />The ACORD name and logo are registered marks of ACORD <br />c3-1 <br />