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AGENCY CUSTOMER ID: B &DT00 <br />LOC # 1 <br />ACORD ADDITIONAL REMARKS SCHEDULE Page 2 of <br />AGENCY <br />Centerpointe Insurance Services, Ltd. <br />NAMEDINSURED <br />B & D TOWING, INC. <br />1502 N SUSAN STREET <br />SANTA ANA, CA. 92703 <br />POLICY NUMBER <br />ACP 7806214975/XL660220303 <br />CARRIER NATIONWIDE MUTUAL INS. CO. /TOPA INS. <br />CO. <br />NAIL CODE <br />23787/18031 <br />EFFECTIVE DATE: 07/19/2013 <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 />For compliance reasons, the attached document includes: <br />1. This certificate is issued as a matter of information only and confers no rights upon the certificate holder. This certificate does not <br />affirmatively or negatively amend, extend, or alter the coverage, terms, exclusions, conditions, or other provisions afforded by the policies <br />referenced herein. This certificate of insurance does not constitute a contract between the issuing insurer(s), authorized representative or <br />producer and the certificate holder. <br />2. Should any of the above described policies be canceled before the expiration date thereof, notice will be delivered in accordance with the <br />policy provisions. <br />B) EXCESS POLICY IS FOLLOWING FORM <br />A) POLICY #: ACP 7806214975 - GARAGEKEEPERS LEGAL LIABILITY LIMIT $ 1,200,000 LOCATION: 1502 N. SUSAN <br />STREET, SANTA ANA, CA 92703 <br />VED AS TO FORM <br />,..r�l. A. Rossini <br />"?ty Attorney <br />ACORD 101 (2008/01) 2008 ACORD CORPORATION. All rights reserved. <br />The ACORD name and logo are registered marks of ACORD <br />