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AGENCY CUSTOMER ID: <br />_ LOC #: <br />ACC)RO ADDITIONAL REMARKS SCHEDULE <br />Page 1 of 1 <br />AGENCY NAMED INSURED <br />Arthur J. Gallagher 6 Co. Insurance Broker. <br />of California, inc. MetroPro Road Services <br />POLICY NUMBER 2550 South Garnsey Street <br />CARRIER NAIC CODE Santa Are, CA 92707 <br /> EFFECTIVE DATE: <br />THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, <br />FORM NUMBER: FORM TITLE: Additional Remarks <br />*Cancellation; The Producer will endeavor to mail 30 days written notice to the Certificate Holder <br />named on the certificate if the workers' compensation policy listed an the certificate is cancelled <br />prior to the expiration date. Failure to do so shall impose no obligation or liability of any kind <br />upon the Producer or otherwise alter the policy terms. <br />© 2000 ACORD CORPORATION. All rights reserved. <br />The ACORD name and logo are registered marks of ACORD