Laserfiche WebLink
II _ <br /> AGENCY CUSTOMER ID: BALLOON <br /> LOC#: <br /> II 1 '4`� ADDITIONAL REMARKS SCHEDULE Pagel of 1 <br /> AGENCY NAMED INSURED <br /> Reagan Insurance Ballard Construction, Inc. <br /> II PO CY NUMBER 320 Bridge Street <br /> Syracuse NY 13209 <br /> CARRIER 1 NAIC CODE <br /> ill EFFECTIVE DATE: <br /> ADDITIONAL REMARKS <br /> THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, <br /> IFORM NUMBER: 25 FORM TITLE: CERTIFICATE OF LIABILITY INSURANCE <br /> additional insured on the Auto&Umbrella policies on a primary basis <br /> 30 day notice of cancellation or material change included <br /> Umbrella coverage follows form <br /> I <br /> I <br /> I <br /> I <br /> I <br /> I <br /> I <br /> I <br /> I <br /> I <br /> I <br /> I <br /> 1 ACORD 101 (2008101) ©2008 ACORD CORPORATION. All rights reserved. <br /> The ACORD name and logo are registered marks of ACORD <br /> I <br />