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AGENCY CUSTOMER ID: <br />LOC $: <br />r <br />• f ADDITIONAL . *SCHEDULE <br />Page 2 of 2 <br />AGENCY <br />NAMEDINSURED <br />Willis of Seattle, Inc, <br />Care AnnuldnOe Service., Inc. <br />1511 West Braden Court <br />orange, CA 92868 <br />_ <br />POWCYNUMBER <br />Bee Page 1 <br />CARRIER <br />NAIC CODE <br />See Page 1 <br />See Page 1 <br />EFFECTIVE DATE: See Page 1 <br />The AQORD name and logo are regqistered marks of ACORD <br />SR ID: 5362924 wrresv 526623 02M W4491393 <br />