Laserfiche WebLink
LOC #: <br />ADDITIONAL REMARKS SCHEDULE <br />Page of <br />AGENCY NAMED INSURED <br />Insurance Brokers of MD - Hagerstown The Library Corporation <br />POLICY NUMBER 1 Research Park <br />Inwood, WV 25428 <br />CARRIER NAIC CODE <br />EFFECTIVE DATE: <br />)DITIONAL REMARKS <br />THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, <br />FORM NUMBER: 25 FORM TITLE: ACORD Certificate of Liability Insurance <br />CERTIFICATE HOLDER: City of Santa Ana <br />Garage Liability <br />INSR ADD'L SUBR POLICY EFFECTIVE POLICY EXPIRATION <br />LTR INSRD WVD POLICY NUMBER DATE (MM/DD/YY) DATE (MM/DD/YY) LIMITS <br />AUTO ONLY - EA ACCIDENT $ <br />ANY AUTO EA ACC $ <br />OTHER THAN <br />AUTO ONLY: AGG $ <br />Automobile Liability <br />Excess/Umbrella Liability <br />ACORD 101 (2008/01) <br />POLICY EFFECTIVE POLICY EXPIRATION <br />POLICY NUMBER DATE (MM/DD/YY) DATE (MM/DD/YY) <br />POLICY EFFECTIVE POLICY EXPIRATION <br />POLICY NUMBER DATE (MM/DD/YY) DATE (MM/DD/YY) LIMITS <br />The ACORD name and logo are registered marks of ACORD <br />CORPORATION_ All rights reserved_ <br />