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AGENCY CUSTOMER ID: 570000082030 <br /> LOC#: <br /> A ADDITIONAL REMARKS SCHEDULE Page _ of <br /> AGENCY NAMED INSURED <br /> Aon Risk Services Central , Inc. Burke, Williams & Sorensen, LLP <br /> POLICY NUMBER <br /> See Certificate Number: 570117604456 <br /> CARRIER NAIC CODE <br /> See Certificate Number: 570117604456 EFFECTIVE DATE; <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 /> INSURER(S) AFFORDING COVERAGE NAIC# <br /> INSURER <br /> INSURER <br /> INSURER <br /> INSURER <br /> ADDITIONAL POLICIES If a policy below does not include limit information,refer to the corresponding policy on the ACORD <br /> certificate form for policy limits. <br /> POLICY POLICY <br /> INSR ADDL SUER POLICY NUMBER EFFECTIVE EXPIRATION LI)II IJ <br /> LIR TYPE OF INSURANCE INSD WVD DATE. DATE <br /> (MM/DD/YYYY) (MM/DD/YYYY} <br /> OTHER <br /> B LPL7CABW3D1007 01/15/2026 01/15/2027 <br /> E LPL00003Y204 01/15/2026 01/15/2027 <br /> ACORD 101(2008/01) ©2008 ACORD CORPORATION.All rights reserved. <br /> The ACORD name and logo are registered marks of ACORD <br />