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AGENCY CUSTOMER ID: 18234 <br /> LOC#: <br /> Ate'E) ADDITIONAL REMARKS SCHEDULE Page 1 of <br /> AGENCY NAMED INSURED <br /> Britton-Gallagher and Associates,Inc. Western Display Fireworks Ltd. <br /> POLICY NUMBER P.O.Box 932 <br /> Canby OR 97013 <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 /> Everett July Fourth Foundation <br /> Cemex <br /> Island Tug <br /> ACORD 101(2008/01) ©2008 ACORD CORPORATION. All rights reserved. <br /> The ACORD name and logo are registered marks of ACORD <br /> • <br /> 81 <br />