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FORM NUMBER: <br />EFFECTIVE DATE: <br />The ACORD name and logo are registered marks of ACORD <br />ADDITIONAL REMARKS <br />ADDITIONAL REMARKS SCHEDULE <br />FORM TITLE: <br />Page of <br />THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, <br />ACORD 101 (2008/01) <br />AGENCY CUSTOMER ID: <br />LOC #: <br />AGENCY NAMED INSURED <br />POLICY NUMBER <br />CARRIER NAIC CODE <br />© 2008 ACORD CORPORATION. All rights reserved. <br />Paramount Exclusive Insurance Services, Inc. <br />ADVALIG-02 <br />SEE PAGE 1 <br />1 <br />SEE PAGE 1 <br />ACORD 25 Certificate of Liability Insurance <br />1 <br />SEE P 1 <br />Advanced Lighting Services, Inc. <br />2010 Crow Canyon Pl <br />Ste 100 <br />San Ramon, CA 94583 <br />SEE PAGE 1 <br />RGONZALEZ <br />1 <br />Description of Operations/Locations/Vehicles: <br />City of Pleasanton, its officers, employees and agents are named as Additional Insured as respects General and Auto Liability as <br />required per written contract or agreement. General Liability and Auto Liability are Primary/Non-Contributory per policy form <br />wording. Waiver of Subrogation applies in favor of additional, insureds. 30 Days Notice of Cancellation. Umbrella follows form. <br />Docusign Envelope ID: 3B72E0E1-49B0-81A0-82B4-6F3690F68EF8