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AGENCY CUSTOMER ID: 570000045594 <br />LOC #: <br />ADDITIONAL REMARKS SCHEDULE <br />Page _ of _ <br />AGENCY <br />NAMED INSURED <br />Aon Risk services Northeast, Inc. <br />Manning & Kass, Ellrod, Ramirez, Trester <br />POLICY NUMBER <br />PI <br />EFFECTIVE <br />DATE <br />b;",INI/DD/YYYY) <br />See Certificate Number: 570067860640 <br />CARRIER <br />NAIL CODE <br />EFFECTIVE DATE: <br />see Certificate Number: 570067860640 <br />LPX10008788501 <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 NA1C # <br />INSURER <br />INSURER <br />INSURER <br />INSURER <br />ADDITIONAL POLICIES if a policy below does not include limit infonnation, refer to the corresponding policy on the ACORD <br />certificate form for policy limits,. <br />DNSR <br />LTR <br />TYPE OF INSURA'NC F <br />ADDL <br />IVSD <br />SUBR <br />WVD <br />POLICYNU1MBE'R <br />PI <br />EFFECTIVE <br />DATE <br />b;",INI/DD/YYYY) <br />POLICYLIITS <br />EXPIRATIONTIUEXPIRATIONM <br />DATE <br />(N1WDD1YYYY) <br />E <br />OTHER <br />LPX10008788501 <br />03/11/2017 <br />03/11/2018 <br />B <br />PIP_1000398_F-5 <br />03/11/2017 <br />03/11/2018 <br />C <br />QB1704825 <br />03/1.1/2017 <br />03/11/2018 <br />APP <br />110 X <br />i TO FORM, <br />�a& r =am <br />�S �-h —Nvarz ni"a- <br />-3—n <br />ACORD 101 (2008101) @ 2008 ACORD CORPORATION. Alk' rights reserved. <br />The ACORD name and logo are registered marks of ACORD <br />