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AGENCY CUSTOMER ID: <br /> �. LOC #: <br /> ACCOR"� ADDITIONAL EMARKS SCHEDULE Page of <br /> AGENCY NAMED INSURED <br /> LIP Insurance Services, LLC Xpress Technical Services, DBA: IEC Services, Alpha Architectural Signs & Lighting <br /> POLICY NUMBER <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: Notes <br /> Continued from Description of Operations Section: <br /> When Named Insureds operations are performed for Certificate Holder and/or entities listed in Description of Operations on the Acord 25 form pursuant to a <br /> valid written contract or agreement executed by Named Insured prior to loss, in accordance with the noted policy(ies): Additional Insured Status is <br /> determined by attached forms: <br /> CGD246 04/19;CGD211 01/04;CGD316 02/19;CGT100 02/19;CAT353 02/15;CAT499 02/16;WC990376(A)-001 <br /> E00001 07/16; <br /> Pollution Liability: <br /> Policy Term: 8/29/24-25 <br /> Carrier: Ironshore <br /> Policy 4ICELLUW00156021 <br /> Limit of Liability: $3MM Occurrence/Aggregate <br /> Deductible: $5,000 <br /> Professional Liability: <br /> Policy Term: 8/29/24-25 <br /> Carrier: Lloyds <br /> Policy#ANE547514724 <br /> Limit of Liabililty: $1 MM Occurrence/Aggregate <br /> Deductible: $10,000 <br /> ACORD 101 (2008/01) © 2008 ACORD CORPORATION. All rights reserved. <br /> The ACORD name and logo are registered marks of ACORD <br />