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FORM NUMBER: <br />EFFECTIVE DATE: <br />The ACORD name and logo are registered marks of ACORD <br />ADDITIONAL REMARKS <br />ADDITIONAL REMARKS SCHEDULE <br />FORM TITLE: <br />Page of <br />THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, <br />ACORD 101 (2008/01) <br />AGENCY CUSTOMER ID: <br />LOC #: <br />AGENCY NAMED INSURED <br />POLICY NUMBER <br />CARRIER NAIC CODE <br />© 2008 ACORD CORPORATION. All rights reserved. <br />Lawley, LLC <br />DIAMSER-01 <br />SEE PAGE 1 <br />1 <br />SEE PAGE 1 <br />ACORD 25 Certificate of Liability Insurance <br />License # 1009544 <br />1 <br />SEE P 1 <br />Diameter Services USA, Inc. <br />3411 Silverside Rd Blg 104 <br />Wilmington, DE 19810 <br />NEW CASTLE <br />SEE PAGE 1 <br />KSICINA <br />1 <br />When required by executed written contract the following endorsements apply: <br />General Liability: <br />SL 30 32 06 21 BLANKET ADDITIONAL INSURED BY CONTRACT <br />SL 00 00 10 18 BUSINESS LIABILITY COVERAGE FORM <br />Automobile: <br />SL 30 32 06 21 BLANKET ADDITIONAL INSURED BY CONTRACT <br />SL 00 00 10 18 BUSINESS LIABILITY COVERAGE FORM <br />Umbrella: <br />SU 00 02 10 18 BLANKET ADDITIONAL INSURED BY CONTRACT - UMBRELLA <br />Workers Compensation: <br />WC000313 WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT <br />Docusign Envelope ID: 134A9AB7-298B-4C3D-A5CB-AF281D5118F0