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FORM NUMBER: <br />EFFECTIVE DATE: <br />The ACORD name and logo are registered marks of ACORD <br />ADDITIONAL REMARKS <br />ADDITIONAL REMARKS SCHEDULE <br />FORM TITLE: <br />Page of <br />THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, <br />ACORD 101 (2008/01) <br />AGENCY CUSTOMER ID: <br />LOC #: <br />AGENCY NAMED INSURED <br />POLICY NUMBER <br />CARRIER NAIC CODE <br />© 2008 ACORD CORPORATION. All rights reserved. <br />Lawley, LLC <br />GARASSO-01 <br />SEE PAGE 1 <br />1 <br />SEE PAGE 1 <br />ACORD 25 Certificate of Liability Insurance <br />License # 1009544 <br />1 <br />SEE P 1 <br />GAR Associates, LLC5500 Main Street, Suite 347Williamsville, NY 14221 <br />SEE PAGE 1 <br />RMOORE <br />1 <br />When required by executed written contract the following endorsements apply: <br />General Liability: <br />CL CG 04 93 10 18 GENERAL LIABILITY ULTRA PLUS ENDORSEMENT – NEW YORK <br />( Includes additional Insured & Waiver of subrogation) <br />CL CG 01 14 09 16 PRIMARY AND NONCONTRIBUTORY – OTHER INSURANCE CONDITION (ADDITIONAL INSURED) <br />CL CG 20 62 09-2016 ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - COMPLETED OPERATIONS: AUTOMATIC <br />STATUS <br />Commercial Auto: <br />CL CG 04 93 10 18 GENERAL LIABILITY ULTRA PLUS ENDORSEMENT – NEW YORK <br />( Includes additional Insured & Waiver of subrogation) <br />CL CG 01 14 09 16 PRIMARY AND NONCONTRIBUTORY – OTHER INSURANCE CONDITION (ADDITIONAL INSURED) <br />CL CG 20 62 09-2016 ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - COMPLETED OPERATIONS: AUTOMATIC <br />STATUS <br />Umbrella: <br />CL CU 24 55 07 10 OTHER INSURANCE - ADDITIONAL INSUREDS: PRIMARY AND NONCONTRIBUTORY <br />CL CU 24 66 09 16 UMBRELLA EXPANSION ENDORSEMENT - NEW YORK <br />(Includes Waiver of Subrogation) <br />CL CU 00 01 04 13 COMMERCIAL LIABILITY UMBRELLA COVERAGE FORM <br />(Includes Additional Insured) <br />Docusign Envelope ID: 514EC1E0-3B72-8741-810A-AE00287DD37F