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DocuSign Envelope ID:283A3B52-C94B-489E-9B1D-4FD2FEF5E4AB <br /> AGENCY CUSTOMER ID: <br /> LOC#: <br /> A�Q�l7� ADDITIONAL REMARKS SCHEDULE Page of <br /> AGENCY NAMED INSURED <br /> Stephens Insurance, LLC Mobile <br /> Subs diaries cafions America,Inc. <br /> POLICY NUMBER 885 Cripple Creek <br /> Lawrenceville GA 30043 <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(03/16) <br /> HOLDER:Orange County Emergency Services <br /> ADDRESS:PO Box a181 200 S Cameron Street Hillsborough NC 27278 <br /> ADDITIONAL NAMED INSUREDS <br /> Amerizon of North Carolina, LLC <br /> DBA Amerizon Wireless <br /> DBA Carter Electronic Service Company <br /> DBA Communications & Electronics <br /> DBA Communication Service <br /> DBA Communications Specialists of Columbia SC <br /> DBA East Georgia Communications <br /> DBA First Communications <br /> DBA First Georgia Communications <br /> DBA Infinity Technology Distributors & Consulting 5 <br /> DBA Mobile Communications Albany <br /> DBA Mobile Communications Athens <br /> DBA Mobile Communications Columbus <br /> DBA Mobile Communications of Charleston <br /> DBA Mobile Communications Valdosta <br /> DBA Seamless Mobility Solutions <br /> DBA Ward Bell Communications <br /> DBA Wireless Communications <br /> Infinity Technology Solutions, LLC <br /> Mobile Communications of Dekalb, Inc. <br /> Mobile Communications of Hall, LLC <br /> Mobile Communications of the Carolinas, LLC <br /> DBA Myrtle Beach Communications <br /> ACORD 101 (2008101) G 200B ACORD CORPORATION. All rights reserved. <br /> The AGORD name and logo are registered marks of ACORD ATTACHMENT <br /> 4374Z355 118119 Master Certifioata I Stephanie Sane& 18/21/2018 5;39;03 PM (r-DT) I Fag- 2 0£ 2 <br />