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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-A Oak Branch Dr <br />Greensboro NC 27407 <br />25 CERTIFICATE OF LIABILITY INSURANCE <br />Orange County,its officers,agents and employees are listed as additional insured with respects to General and Umbrella Liability.Workers Compensation <br />waiver of subrogation in favor of Orange County. <br />Lake Orange Intake Tower Rehabilitation Replacement Project,Orange County,North Carolina (Schnabel Reference 24210018.00P) <br />Docusign Envelope ID: 23D64428-F576-4B91-955D-006FB8630FED