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Amador-Livermore Valley Historical Society <br />00000120 <br />Cook, Disharoon & Greathouse, An AssuredPartners C <br />25 Certificate of Liability Insurance: Notes <br />The City of Pleasanton, its officials, employees, agents and volunteers are Additional Insured under General Liability per attached endorsement <br />#AGL09340717, when required in a written contract between the Named Insured and Additional Insured. <br />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 />Docusign Envelope ID: 23575BE3-3675-41F4-AC8E-F6EC59D0D957