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DocuSign Envelope ID:92842175-DOOA-4311-13062-2091FWA94C8 <br /> AGENCY CUSTOMER Ill: 00000443 <br /> ­­11414 LOC#: <br /> ACCARe ADDITIONAL REMARKS SCHEDULE Page of <br /> `� <br /> AGENCY NAMED INSURED <br /> The Whitlock Group Inc DUCT DOCTOR USA OF CHARLOTTE LLC DBN(DUCT DOCTOR CHARLOTTE <br /> POLICY NUMBER <br /> CARRIER NAIC CODE <br /> EFFECTIVE DATE: <br /> ADDITIONAL REMARKS <br /> THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, <br /> FORM NUMBER: 30 FORM TITLE: Certificate of Liability Insurance:Notes <br /> *Blanket Additional Insured status is provided for General Liability(on-going and completed operations)and Automobile Liability on a primary and <br /> non-contributory basis when it is required by a Written Contract with the Named Insured.Any additional insured on General Liability and Automobile Liability <br /> is also an additional on Umbrella, <br /> "Blanket Waiver of Subrogation in favor of the additional insured applies to all coverage when it is required by a Written Contract with the Named Insured. <br /> Cancellation Notice:15 days prior to Cancel date for non-payment of premium and 30 days prior to cancel date for any other reason per State of North <br /> Carolina cancellation rules. <br /> *A.M.Best Rating <br /> Selective Insurance Company of America:AI xllf <br /> Wesco Insurance Company:A 1 XIII <br /> ACORD 101 J20D8101) C 2008 ACORD CORPORATION. All rights reserved. <br /> The ACORD name and logo are registered marks of ACORD <br />