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AGENCY CUSTOMER ID: _.;:__00:...:0:...:0_.:.1...:..15:...:9:;___ ____________ _ <br />LOC #: ______ _ <br />ADDITIONAL REMARKS SCHEDULE Page _2_of <br />AGENCY NAMED INSURED <br />Dunne Insurance Services Inc. Villalobos & Associates Inc. <br />POLICY NUMBER <br />N/A <br />CARRIER I NAICCODE <br />Multiple Carriers EFFECTIVE DA TE : <br />ADDITIONAL REMARKS <br />THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, <br />FORM NUMBER: 25 FORM TITLE: Certificate of Liability Insurance <br />(continued from Description of Operations) <br />10 Day Non Renewal Notice <br />30 Day Cancel Notice <br />ACORD 101 (2008/01) © 2008 ACORD CORPORATION. All rights reserved. <br />The ACORD name and logo are registered marks of ACORD <br />Pri nted by SMR on January 19 , 2024 at 03 :45PM <br />DocuSign Envelope ID: DA631F0B-3C25-4585-9688-3F2684907C15