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5576AGENCY CUSTOMER <br />LOC #:Ail4.r <br />,4,€o-,?p*ADDITIONAL REMARKS SCHEDULE Page I of 1 <br />AGENCY <br />TAPCO- KL (5576) <br />INSURED <br />BARBARA DAVIDSON <br />EASTON MEMORIAL DAY PARADE AND CAR SHOW <br />PO BOX 698 <br />EASTON, WA 98925 <br />POLICY NUMBER <br />sE2022545 <br />CARRIER <br />Mount Vernon Fire lnsurance Company <br />NAIC CODE <br />26522 EFFECTIVE D AT E: 512412024 <br />ADDITIONAL REMARKS <br />THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, <br />FORM NUMBER: ACORD 25 FORM TITLE: CERTIFICATE OF LIABILITY INSURANCE <br />COVERAGE PART LIMITS <br />Commercial Liability <br />Each Occurrence Limit <br />Personal & Advertising lnjury Limit (Any One Person/Organization) <br />Medical Expense Limit (Any One Person) <br />Damages To Premises Rented To You (Any One Premises) <br />Products/Completed Operations Aggregate Limit <br />General Aggregate Limit <br />$1,000,000 <br />$1,000,000 <br />$1,000 <br />$100,000 <br />See L-535 <br />$2,000,000 <br />This contract is registered and delivered as a surplus line coverage under the insurance code of the state of Washington, Title <br />48 RCW. lt is not protected by any Washington state guaranty association law. <br />Copyright 2008 ACORD CORPORATION. All rights reserved <br />The ACORD name and logo are registered marks of ACORD <br />ACORD 101(2008/01)