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AGENCY CUSTOMER ID: CN102452723 <br />LOC #: Irvine <br />ACOl� ADDITIONAL REMARKS SCHEDULE Page 2 of 2 <br />AGENCY NAMED INSURED <br />Marsh Risk & Insurance Serviceso Overland, Pacific & Cutler, LLCO <br />3750 Schaufele Avenuou <br />POLICY NUMBER Suite 1500 <br />Long Beach, CA 90808 <br />CARRIER 7AIC CODE <br />EFFECTIVE DATE: <br />THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, <br />FORM NUMBER: 25 FORM TITLE: Certificate of Liability Insurance <br />m <br />Workers Compensation Carriers (by State): 0 <br />1) CA- Hartford Fire Insurance 0 <br />2) NV - Twin City Fire Insurance Company u <br />3) TX - Hartford Underwriters on <br />ACORD 101 (2008/01) © 2008 ACORD CORPORATION. All rights reserved. <br />The ACORD name and logo are registered marks of ACORD <br />REVIENiED E3Y: E6/ CE HEREDIA (PG FF-) <br />