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AGENCY CUSTOMER ID: 570000058422 <br />LOC #: <br />ADDITIONAL REMARKS SCHEDULE <br />Page — of — <br />AGENCY <br />NAMED INSURED <br />Ann Risk services Northeast, Inc. <br />IDEXX Laboratories, Inc. <br />POLICY NUMBER <br />See Certificate Number: 570060906556 <br />INSURER <br />CARRIER <br />POLICI <br />see certificate Number: 570060906556 <br />77C77 <br />EFFECTIVE DATE <br />ADDITIONAL REMARKS <br />THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, <br />I FORM NUMBER: ACORD 25 FORM TITLE: Certificate of Liability Insurance <br />INSURER(S) AFFORDING COVERAGE <br />INSURER <br />NAIC # <br />INSURER <br />INSURE R <br />INSURER <br />ADDI'TIONAL POLICIES tf*a policy below does not include limit inforination, refer to the corresponding policy on the ACORD <br />certificate forni for policy litnits. <br />POLICI <br />POLK", <br />INSH <br />TYPE OF INSURANCE <br />A01WSUBR <br />INSn <br />WVD, <br />POLWY NUMBER <br />EFFECTIVE <br />EXPIRATION <br />LIMI'T'SIA'R <br />DATE <br />DATE <br />(MMIDWYYYY) <br />(M1%l1DD1Y)'V1) <br />AUTOMOBILE LIABILITY <br />A <br />15 7358 07 90 <br />06/30/2015 <br />06/30/2016 <br />collision <br />S1,000 <br />Deductible <br />F13 <br />OTHER <br />E&O-PL-Primary <br />EISME386001 <br />06/30/2015 <br />b6/30/2016 <br />Aggregate <br />$5,000,000 <br />SIR applies per policy tows <br />& conditions <br />Per <br />$5,000,000 <br />Occurrence <br />SIR <br />$1,000,07 <br />ACORD 101 (2008)011 (9) 2008 ACORD CORPORATION. All rights reserved. <br />The ACORD name and logo are registered marks of ACORD <br />