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ACORD 101 (2008/01) <br />The ACORD name and logo are registered marks of ACORD <br />© 2008 ACORD CORPORATION. All rights reserved. <br />THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, <br />FORM NUMBER:FORM TITLE: <br />ADDITIONAL REMARKS <br />ADDITIONAL REMARKS SCHEDULE Page of <br />AGENCY CUSTOMER ID: <br />LOC #: <br />AGENCY <br />CARRIER NAIC CODE <br />POLICY NUMBER <br />NAMED INSURED <br />EFFECTIVE DATE: <br />SCHNA-1 <br />1 1 <br />Scott Insurance -Richmond Schnabel Engineering,LLC <br />Schnabel Engineering South,PC <br />11 Oak Branch Dr <br />Greensboro NC 27407 <br />25 CERTIFICATE OF LIABILITY INSURANCE <br />Waiver of Subrogation in favor of Additional Insureds for General Liability,Auto Liability,Workers Compensation,Umbrella Liability and Professional Liability. <br />Orange County is listed as additional insured with respects to General and Umbrella Liability.Workers Compensation waiver of subrogation in favor of Orange <br />County. <br />DocuSign Envelope ID: 3667B243-40E4-479A-AE63-F797402CD54A