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ACORD 101 (2014/01)© 2014 ACORD CORPORATION. All rights reserved. <br />The ACORD name and logo are registered marks of ACORD <br />AGENCY CUSTOMER ID: <br />LOC# : <br />ADDITIONAL REMARKS SCHEDULE Page 2 of 2 <br />AGENCY <br />BRADY-HARBORD-PAYNE INS BRKRS/PHS <br />NAMED INSURED <br />OGDEN COSTA CREATIVE GROUP <br />1807 SANTA RITA RD STE H262 <br />PLEASANTON CA 94566-4779 <br />POLICY NUMBER <br />SEE ACORD 25 <br />CARRIER <br />SEE ACORD 25 <br />NAIC CODE <br />EFFECTIVE DATE:SEE ACORD 25 <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 />LPFD, The City of Livermore and the City of Pleasanton, as well as officers, employees and agents of LPFD, the City of <br />Livermore and the City of Pleasanton are included as additional insured's but only as required by a valid written contract, <br />agreement, or permit is an additional insured as provided by Blanket Additional Insured By Contract Endorsement, Form SL 30 <br />32 attached to this policy. Notice of Cancellation will be provided in accordance with Form SL9013 attached to this policy. <br />Docusign Envelope ID: 487675C6-8146-495F-9B22-3FA5A5714829