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AGENCY CUSTOMER ID: KOACORPOR <br />LOC #: <br />ADDITIONAL REMARKS SCHEDULE <br />Page 1 of 1 <br />AGENCY <br />NAMED INSURED <br />Dealey, Renton & Associates <br />KOA Corporation <br />1100 Corporate Center Dr #201 <br />Monterey Park, CA 91754 <br />POLICY NUMBER <br />323-260-4703 <br />CARRIER <br />NAIC CODE <br />EFFECTIVE GATE: <br />THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, <br />FORM NUMBER: 25 FORM TITLE: CERTIFICATE OF LIABILITY INSURANCE <br />afforded the additional insured is primary and non-contributory as respects to general liability <br />coverage. Insurance coverage includes waiver of subrogation per the attached endorsement(s). <br />SEE CANCELLATION SECTION of Certificate for 30 Day Notice of Cancellation /10 Day for Non -Payment of <br />Premium. <br />All riahts r250YVP.d_ <br />The ACORD name and logo are registered marks of ACORD <br />