Laserfiche WebLink
AGENCY CUSTOMER ID: <br />ADDITIONAL REMARKS SCHEDULE <br />LOC #: <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 />EFFECTIVE DATE: <br />CARRIER NAIC CODE <br />POLICY NUMBER <br />NAMED INSUREDAGENCY <br />See Certificate Number: <br />See Certificate Number: <br />570117604456 <br />570117604456 <br />Aon Risk Services Central, Inc. <br />570000082030 <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 />INSURER <br />INSURER <br />INSURER <br />INSURER <br />INSURER(S) AFFORDING COVERAGE <br />Page _ of _ <br />NAIC # <br />Burke, Williams & Sorensen, LLP <br /> TYPE OF INSURANCE <br />POLICY NUMBER LIMITS <br />OTHER <br />B LPL7CABW3D1007 01/15/2026 01/15/2027 <br />E LPL00003Y204 01/15/2026 01/15/2027 <br />ADDL <br />INSD <br />INSR <br />LTR <br />SUBR <br />WVD <br />POLICY <br />EFFECTIVE <br />DATE <br />(MM/DD/YYYY) <br />POLICY <br />EXPIRATION <br />DATE <br />(MM/DD/YYYY) <br />ACORD 101 (2008/01)© 2008 ACORD CORPORATION. All rights reserved. <br />The ACORD name and logo are registered marks of ACORD <br />Docusign Envelope ID: 557AE44C-DA7B-40EA-A525-DC010736B519