Laserfiche WebLink
AGENCY <br />Andreinj & Co, <br />POLICY NUMBER <br />TA AI& <br />AGENCY CUSTOMER ID: DMSFA.1 <br />LOG #: <br />ADDITIONAL REMARKS SCHEDULE <br />NAMED INS URFD <br />DMS Facility Services, LLC <br />DMS Landscaping <br />1040 Arroyo Drive <br />South Pasadena CA 11110 <br />NATC —;ODE <br />EFFECTIVE DATE: <br />THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, <br />FORM NUMBER: 25- FORM TITLE: CERTIFICATE QE L[A131L!l Y INSURANCE <br />Primary/Non-Contributory wording <br />is included pursuant to the attached <br />LC 24 20 02 13 form which is part the Insurance policy shown above. <br />ACORD 101 (20011161) <br />Pagel or 1 <br />- f-UVt3K;.UKIJ'.;UKFUKAII0N, All rights reserved. <br />The ACORU name and 1090 are registered marks of ACORN <br />