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AGENCY CUSTOMER ID : 35MOSELARC <br /> LOC # : <br /> A � ADDITIONAL REMARKS SCHEDULE Page 1 of 1 <br /> AGENCY NAMED INSURED <br /> McGrifff Insurance Services Moseley Architects PC <br /> 11430 North Community House Road , Suite 225 <br /> POLICY NUMBER 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 Architects of Americas LLC <br /> BeeryRio <br /> Moseley Architects <br /> Moseley Architects of South Carolina P . C . <br /> j <br /> RE: Contract No . 550352 , Orange County New Detention Center Orange County , its officers , official agents and employees are included as Additional Insured <br /> with respect to General Liability Coverage per Endorsement CGD381 09/07 . 30 days ' Notice of Cancellation other than nonpayment of premium will be sent to <br /> Orange County . Waiver of Subrogation is Included with respect to Worker's Compensation Coverage , <br /> ACORD 101 ( 2008/01 ) © 2008 ACORD CORPORATION . All rights reserved . <br /> The ACORD name and logo are registered marks of ACORD <br />