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DocuSign Envelope ID: 88D4232D -A1 F7- 456E- 86CE- DA0982477F31 <br />AC "R V <br />AGENCY <br />iummers Thompson Lowry, Inc. <br />POLICY NUMBER <br />;EE PAGE 1 <br />CARRIER <br />;EE PAGE 1 <br />ADDITIONAL REMARKS <br />AGENCY CUSTOMER ID: CUSTCON -01 DMASON <br />LOC #: 1 <br />ADDITIONAL REMARKS SCHEDULE Page 1 of 1 <br />NAMED INSURED <br />Custom Controls Unlimited Inc. <br />2600 Garner Station Blvd <br />Raleigh, NC 27603 <br />NAIC CODE <br />SEE P 1 EFFECTIVE DATE: <br />THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, <br />FORM NUMBER: ACORD 25 FORM TITLE: Certificate of Liability Insurance <br />Primary & Noncontributory <br />The General Liability applies as Primary and Noncontributing <br />basis before any other insurance or self- insurance, including any deductible, <br />maintained by, or provided to, the additional insured providing "your work" coverage arising <br />out of work performed for the contractor by the subcontractor per written contract <br />ACORD 101 (2008101) © 2008 ACORD CORPORATION. All rights reserved. <br />The ACORD name and logo are registered marks of ACORD <br />