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ACORD 101 (2008/01) <br />The ACORD name and logo are registered marks of ACORD <br />© 2008 ACORD CORPORATION. All rights reserved. <br />THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, <br />FORM NUMBER:FORM TITLE: <br />ADDITIONAL REMARKS <br />ADDITIONAL REMARKS SCHEDULE Page of <br />AGENCY CUSTOMER ID: <br />LOC #: <br />AGENCY <br />CARRIER NAIC CODE <br />POLICY NUMBER <br />NAMED INSURED <br />EFFECTIVE DATE: <br />MARSH RISK & INSURANCE SERVICES <br />�� <br />�� <br />�� <br />Cancellation For Other Than Nonpayment: Number of Days Notice: 30 days �� <br />�� <br />(Nonrenewal): Number of Days Notice:10 days�� <br />Cancellation For Nonpayment: Number of Days Notice:10 days �� <br />�� <br />�� <br />�� <br />�� <br />�� <br />�� <br />�� <br />�� <br />�� <br />�� <br />�� <br />�� <br />�� <br />�� <br />�� <br />�� <br />2 <br />San Francisco <br />Certificate of Liability Insurance <br />�� <br />�� <br />�� <br />�� <br />�� <br />�� <br />�� <br />�� <br />�� <br />�� <br />�� <br />�� <br />�� <br />�� <br />�� <br />�� <br />�� <br />�� <br />25 <br />�� <br />Carrier will provide notice of cancellation or nonrenewal per below if required by a written contract . �� <br />�� <br />�� <br />�� <br />�� <br />DBA Flock Safety ��Flock Group Inc�� <br />�� <br />1170 Howell Mill Rd NW�� <br />�� <br />�� <br />�� <br />2 <br />CN134017657 <br />Atlanta,GA 30318�� <br />�� <br />�� <br />�� <br />Docusign Envelope ID: 75D793E6-C3C5-4253-9BBE-EDDFB8700762