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DocuSign Envelope ID:AB2ABB74-BA4B-4734-A66D-EF10C56098ED <br /> AGENCY CUSTOMER ID: 348-705-5 <br /> LOCI: - - <br /> AC"RE® <br /> 11- f ADDITIONAL REMARKS SCHEDULE Page <br /> AGENCY [NAMED INSURED <br /> FEDERATED MUTUAL INSURANCE COMPANY DEMASTERS SERVICES INCORPORATED <br /> POLICY NUMBER -- -- 2 NEAL RD <br /> SEE CERTIFICATE#34.0 RHAM,NC 27705 <br /> NA O CODE <br /> SEE CERTIFICATE#34.0 CTIVE DATE:SEE CERTIFICATE 34.0 <br /> ADDITIONAL REMARKS <br /> THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, <br /> FORM NUMBER: 25 FORM TITLE: CERTIFICATE O LIRBILITY INSi1RANCE <br /> CERTIFICATEMOLDER IS AN ADDITIONAL INSURED SUBJECT TO THE - --— <br /> CONDITIONS OF THE ADDITIONAL INSURED BY CONTRACT ENDORSEMENT <br /> FOR GENERAL LIABILITY AND BUSINESS AUTO LIABILITY. <br /> ADDITIONAL INSURED ALSO INCLUDES RECREATION FACTORY <br /> PARTNERS. <br /> SPECIAL CONTRACTORS FLOATER COVERAGE FORM IM-F-30 ITEM E <br /> PROVIDES COVERAGE FOR BORROWED, RENTED OR LEASED EQUIPMENT <br /> FOR A PERIOD NOT TO EXCEED 60 DAYS FROM THE DATE OF THE <br /> RENTAL AGREEMENT. A $50,000 LIMIT APPLIES TO ALL EQUIPMENT <br /> BORROWED, LEASED OR RENTED UNDER POLICY #9337203 <br /> I <br /> II <br /> f <br /> i <br /> ACORD 101 (2008101) 0 20M ACORD CORPORATION,All rights reserved. <br /> The ACORD narne and logo are registered marks of ACORD <br />