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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 />NETPSYS-01 <br />1 1 <br />Sutter,McLellan &Gilbreath,Inc NetPlanner Systems,Inc. <br />3145 Northwoods Parkway <br />Suite 800 <br />Peachtree Corners GA 30071 <br />25 CERTIFICATE OF LIABILITY INSURANCE <br />CG D3 16 02 19 -Extend Endorsement For Contractors <br />IL T8 03 -Continuation of Form IL T4 05 -Designated Person or Organization <br />CG D4 69 02 19 -Total Aggregate Limit Other Than Projects &Designated Project and Location Aggregate Limits <br />M T5 60 01 10 -Commercial Inland Marine -Blanket Loss Payees <br />IL T8 01 01 01 -Commercial Automobile -Forms /Endorsement Schedule <br />CA T0 01 02 15 -Loss Payable Clause <br />CA 20 01 10 13 -Lessor -Additional Insured &Loss Payee <br />CA T4 52 02 16 -Short Term Hired Auto -Additional Insured and Loss Payee <br />CA T4 99 02 16 -Blanket Additional Insured -Primary and Non-Contributory With Other Insurance -Contractors <br />CA T3 53 02 51 -Business Auto Extension Endorsement <br />WC 00 03 13 -Blanket Waiver of Our Right To Recover From Others Endorsement <br />IL T8 01 01 01 -Umbrella -Forms /Endorsement Schedule <br />EU 00 02 09 20 -UMB Dec with Limits <br />EU 00 03 08 18 -Underlying Schedule of Insurance <br />EU 00 01 07 16 -Excess Follow-Form and Umbrella Liability Insurance <br />IL T8 03 -Blanket Cancellation Endorsements <br />RP 10 00 10 21 -Travelers ECP Custom General Provisions Form <br />DocuSign Envelope ID: D84862E2-2392-4DF6-A303-B7799FD027EB