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Docusign Envelope ID:OB18F280-87A5-4A76-8CD5-OD6337C1BB4C <br /> AGENCY CUSTOMER ID: SPEAKWR-01 <br /> _ LOC#: <br /> AC"J?"® ADDITIONAL REMARKS SCHEDULE Page 1 of 1 <br /> AGENCY NAMED INSURED <br /> Frost Insurance-Select Business SpeakWrite <br /> 18815 West De Vaca Lane <br /> POLICY NUMBER Galveston TX 77554 <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 /> RE:Orange County,its officers,agents and employees are designated as additional insured,with respect to the general liability policy,as required by written <br /> contract. <br /> ACORD 101 (2008/01) ©2008 ACORD CORPORATION. All rights reserved. <br /> The ACORD name and logo are registered marks of ACORD <br />