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AGENCY CUSTOMER ID: 570000058422 <br />A� ADDITIONAL REMARKS SCHEDULE <br />Page _ of _ <br />AGENCY <br />Ann Risk Services Northeast, Inc. <br />NAMEDINSURED <br />IDEXX Laboratories, Inc. <br />POLICY NUMBER <br />See certificate Number: 570062938314 <br />CARRIER <br />See Certificate Number: 570062938314 <br />NAIL CODE <br />EFFECTIVE DATE: <br />ADDITIONAL REMARKS <br />THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, <br />FORM NUMBER: ACORD 25 FORM TITLE: Certificate of Liability Insurance <br />INSURER(S) AFFORDING COVERAGE <br />NAIC # <br />INSURER <br />INSURER <br />INSURER <br />INSURER <br />ADDITIONAL POLICIES If a policy below does not include limit information, refer to the corresponding policy on the ACORD <br />certificate form for policy limits. <br />INSR <br />LTR <br />TYPEOFLYSU&tNCE <br />ADDL <br />IVSD <br />SUBR <br />WVD <br />POLICY NUM BER <br />POLICY <br />EFFECTIVE <br />DATE <br />MM/DD/YYVY <br />POLICY <br />GXPDATTION <br />DATE <br />NINI/DDIVYYY <br />LIMITS <br />AUTOMOBILE LIABILITY <br />A <br />73580790 <br />06/30/2016 <br />06/30/2017 <br />collision <br />Deductible <br />$1,000 <br />OTHER <br />D <br />E&O-PL-Primary <br />E16ME380001 <br />SIR applies per policy to <br />06/30/2016 <br />ms & conditi <br />06/30/2017 <br />ns <br />Aggregate <br />$5,000,000 <br />Per <br />Occurrence <br />$5,000,000 <br />SIR <br />Aggregate <br />$1,000,000 <br />9 <br />P��Pa <br />v <br />4 <br />ACORD 101 (2008101) © 2008 ADDED CORPORATION. All rights reserved. <br />The ADDED name and logo are registered marks of ACORD <br />