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AGENCY CUSTOMER ID: GREGDRI-01 <br /> LOC#: <br /> AC")?" ADDITIONAL REMARKS SCHEDULE Page 1 of 1 <br /> AGENCY NAMED INSURED <br /> JILT Specialty USA Gregg Drilling, LLC <br /> 2726 Walnut Avenue <br /> POLICY NUMBER Signal Hill CA 90755 <br /> CARRIER NAIC CODE <br /> EFFECTIVE DATE: <br /> ADDITIONAL REMARKS <br /> THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, <br /> FORM NUMBER: 25 FORM TITLE: CERTIFICATE OF LIABILITY INSURANCE <br /> required by written contract or agreement. <br /> Project No.SAC245 Lathrop, CA <br /> ACORD 101 (2008/01) ©2008 ACORD CORPORATION. All rights reserved. <br /> The ACORD name and logo are registered marks of ACORD <br />