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AGENCY CUSTOMER ID: EXCEINC-01 45 <br /> _ LOC#: <br /> ADDITIONAL REMARKS SCHEDULE Page 1 of 1 <br /> AGENCY NAMED INSURED <br /> JD Fulwiler&Co Ins Excellance Inc <br /> 453 Lanier Rd <br /> POLICY NUMBER Madison AL 35758 <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 /> 1)453 Lanier Rd. Madison AL 35758 <br /> $2,000,000 Comprehensive <br /> $2,000,000 Collision <br /> Location: <br /> 2)504 Lanier Rd. Madison AL 35758 <br /> $2,000,000 Comprehensive <br /> $2,000,000 Collision <br /> Coverage Basis: <br /> Direct Primary <br /> Deductibles: <br /> COMPREHENSIVE <br /> All Other Deductible: <br /> Deductible:$2,500/$10,000 Max <br /> Earthquake, Flood,&Windstorm and Hail Deductible: <br /> Deductible:$2,500/$250,000 Max <br /> Collision <br /> $1,000 <br /> "LIMITS FOR AUTOS HELD FOR SALE BY NON DEALERS: <br /> Location: <br /> 1)453 Lanier Rd. Madison AL 35758 <br /> $500,000 Comprehensive <br /> $500,000 Collision <br /> Location: <br /> 2)504 Lanier Rd. Madison AL 35758 <br /> $500,000 Comprehensive <br /> $500,000 Collision <br /> $1,000,000 Unnamed Locations <br /> $ 500,000 In Transit <br /> Deductibles: <br /> COMPREHENSIVE <br /> All Other Deductible: <br /> Deductible:$2,500/$10,000 Max <br /> Earthquake, Flood,&Windstorm and Hail Deductible: <br /> Deductible:$2,500/$250,000 Max <br /> Collision <br /> $1,000 <br /> #of Dealer Plates(10) <br /> Orange County,its officers,agents and employees are designated as additionally insured as respects operations of the named insured in accordance with the <br /> policy terms,conditions&exclusions. Primary Non-Contributory and Waiver of Subrogation apply. <br /> ACORD 101 (2008/01) ©2008 ACORD CORPORATION. All rights reserved. <br /> The ACORD name and logo are registered marks of ACORD <br />