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DocuSign Envelope ID:300C1C4C-4016-4747-9FOE-2EFF60AA8834 <br /> AGENCY CUSTOMER ID: 348-705-5 <br /> LOC#: <br /> AdC V <br /> k. �' ADDITIONAL REMARKS SCHEDULE Page 1 of 1--_ <br /> AV ENCY NAM ED I NSVRED <br /> FEDERATED MUTUAL INSURANCE COMPANY TRADEMASTERS SERVICES INCORPORATED <br /> Poilcv HelMaER -— — 5412 NEAL RD <br /> SEE CERTIFICATE#34.0 DURHAM,NC 27705-2362 <br /> CARRIER NAIC CODE <br /> SEE CERTIFICATE##34.0 EFFECTIVE DAXE SEE CERTIFICATE##34.0 <br /> ADDITIONAL REMARKS <br /> THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, <br /> FORM NUMBER: 25 FORM TITLE: C.ERTIFICATE_OE4IABILI-TY 3NSURANCE <br /> CERTIFICATEHOLDER 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 050,DOO LIMIT APPLIES TO ALL EQUIPMENT <br /> BORROWED, LEASED OR RENTED UNDER POLICY 09337203 <br /> ACORD 101 120D8101) ®2008 ACORD CORPORATION.All rights reserved. <br /> The ACORD name and logo are registered marks of ACORD <br /> i <br /> i <br /> I <br />