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DocuSign Envelope ID:47205FAF-9CD2-4A40-BD26-FF33C4A659C6 <br /> AGENCY CUSTOMER ID: <br /> LOC#: <br /> �► �o ADDITIONAL REMARKS SCHEDULE Page of <br /> AGENCY NAMED INSURED <br /> Stephens Insurance,LLC Mobile bsldlanesunications 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 TIT LE.Ce rtifica te of Liability(03/16) <br /> HOLDER:orange County Emergency Services <br /> ADDRESS:PO Box 8181 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 /> I ' <br /> ACORD 101 (2008101) G 200B ACORD CORPORATION. All rights reserved. <br /> The ACORD name and logo are registered marks of ACORD ATTACHMENT <br /> 43742355 1 18119 Master Certificate I Stephanie Janes 18/21/2018 5;39;03 PH (CDT) I Fag. 2 of 2 <br />