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ACORD AGENCY CUSTOMER ICJ: <br /> LOC #: <br /> ADDITIONAL REMARKS SCHEDULE Page of <br /> AGENCY NAMED INSURED <br /> Blackadar Insurance Agency US Heating & Air Conditioning Inc <br /> POLICY NUMBER Ste 1402 <br /> Altamonte Springs, FL 32714 <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: ACORD Certificate of Liability Insurance <br /> Garage Liability <br /> INSR LTR INSRD POLICY NUMBER POLICY TE (M F M F IDD/YY) DATE (M IMIDDIYY) <br /> LIMITS <br /> AUTO ONLY - EA ACCIDENT S <br /> ANY AUTO OTHER THAN EA ACC S <br /> AUTO ONLY AGG S <br /> Automobile Liability <br /> INSR ADD'L POLICY EFFECTIVE POLICY EXPIRATION <br /> LTR INSRD POLICY NUMBER DATE (MM/DDIYY) DATE (MMIDO/YY) <br /> B <br /> Excess /Umbrella Liability <br /> INSR ADD'L POLICY EFFECTIVE POLICY EXPIRATION <br /> LTR INSRD POLICY NUMBER DATE (MM/DD/YY) DATE (MM/DD/YY) LIMITS <br /> C <br /> Other Liability <br /> INSR POLICY NUMBER POLICY POLICY <br /> V LIMITS <br /> ACORD 101 (2008101) O 2008 ACORD CORPORATION. An rights reserved. <br /> The ACORD name and logo are registered marks of ACORD <br />