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DocuSign Envelope ID: r2oC530e-9A37-41Cr-8A34 E008r1rr9u8E <br /> AGENCY CUSTOMER ID; 35MOSELARC <br /> uoc#: <br /> ACC)R EP ADDITIONAL REMARKS SCHEDULE Page 1 of 1 <br /> AGENCY NAMED INSURED <br /> BB&T Insurance Services, Inc. Moseley Architects PC <br /> POLICY NUMBER 1143ONo�� Community House Road, 8u�e225(#5on <br /> pol) <br /> Charlotte NC 28277-1502 <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 /> Moseley itects North Carolina PC <br /> Moseley Acrhitects of Virginia LLC <br /> Moseley itects of Americas LLC <br /> BeeryRio <br /> Moseley Architects <br /> Moseley Architects of South Carolina PC <br /> � . | ` <br /> RE: Contrac No. 550352 Orange County Detention Center Orange County its officers official agents and employees are included as <br /> Additional Insured with respect 0oGemaro| LiabNtyCovoraQaperEndomem*ndCGD381O9/07. 3ndovs' Notkce of Cancellation other than <br /> nonpayment of premium will be sent to Orange County. Waiver of Subrogation is included with respect to Worker's Compensation Coverage. <br /> ACoRD1m (2008/01) C)2008 ACORD CORPORATION. All rights reserved. <br /> The ACORD name and logo are registered marks of ACORD <br />