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15 <br /> AGENCY CUSTOMER ID: MATER-1 <br /> • - - - LOC#: - - - - - <br /> A ADDITIONAL REMARKS SCHEDULE Page 1 of <br /> AGENCY NAMED INSURED <br /> The Unity Group Materials Testing and Consulting Inc. <br /> POLICY NUMBER 777 Chrysler Dr <br /> Burlington WA 98233-4100 <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 /> RE:Broadway Bridge Replacement project,COE W.O.#PIN 3395;per forms and conditions City of Everett,its officers,employees and <br /> agents as Additional Insureds. <br /> • <br /> ACORD 101 (2008/01) - ©2008 ACORD CORPORATION. All rights reserved. <br /> The ACORD name and logo are registered marks of ACORD <br />