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AGENCY CUSTOMER ID: <br />LOC #: <br />ACORD ADDITIONAL REMARKS SCHEDULE Page 2 Of 2 <br />AGENCY <br />NAMED INSURED <br />Willis Insurance Services of California, Inc. <br />Arakelian Enterprises Inc dba Athens Services <br />14048 Valley Blvd. <br />City Of Industry, CA 91746 <br />POLICY NUMBER <br />See Page 1 <br />CARRIER <br />NAIC CODE <br />See Page 1 <br />See Page 1 <br />EFFECTIVE DATE: See Page 1 <br />THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, <br />FORM NUMBER: 25 FORM TITLE: Certificate of Liability Insurance <br />purchased by Additional Insureds, where required by written contract <br />Waiver of Subrogation applies in favor of Additional Insureds with respects to General Liability, where required by <br />written contract <br />01 (2008/011 <br />The ACORD name and logo are registered marks of ACORD <br />SR ID: 15699948 m=-: 673038 Cssr: W5454033 <br />71kA� <br />