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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 />LARRYWAL-03 <br />1 1 <br />AssuredPartners Design Professionals Insurance Services,LLC Larry Walker Associates,Inc. <br />Attn:Tina VanCarpels <br />(530)753-6400/tinav@lwa.com <br />1480 Drew Ave.,#100 <br />Davis CA 95618-4124 <br />25 CERTIFICATE OF LIABILITY INSURANCE <br />Insured,this insurance applies: <br />a.As if each Named Insured were the only Named Insured;and <br />b.Separately to each insured against whom claim is made or suit is brought. <br />Docusign Envelope ID: 183BA217-2E64-4627-AB5B-FA1828041D5A