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€fFb. <br />AGENCY CUSTOMER ID: <br />LOC #: <br />ADDITIONAL REMARKS SCHEDULE Page 1 of 1 <br />CARRIER <br />SEE CERTIFICATE # 9.0 <br />POUCY NUMBER <br />SEE CERTIFICATE # g,O <br />AGENCY <br />FEDERATED MUTUAL I NSURANCE COM PANY <br />NAIC CODE EFFEcrlvE DArE: SEE CERTIFICATE # S.0 <br />NAMED INSURED <br />JOHNSTON FUNERAL PARLORS, LLC <br />301 E 3RD AVE <br />ELLENSBU RG, WA 98926-3348 <br />ADDITIONAL NAHED INSUREDS INCTUDE <br />JOHNSTON & WILLIAMS FUNERAL HOI,IE AND CREI.IATORY <br />STOP-GAP (E}IPLOYER'S LIABILITY) COVERED STATE(S) WA <br />ADDITIONAL LNSURED'S INCLTDES THE CORONER, ITS SUCCESSoRS, AND ASSIGNS, AND THE RESPECTM DIRECTORS, OFFICERS, <br />E}IPLOYEES, AGENTS AND REPRESENTATIVES OF THE CORONER AND ITS SI'CCESSORS AND ASSIGNS. <br />THE CERTIFICATE HOLDER IS AN ADDITIO.IAL INSURED ON GENERAL LIABILTTY SUBJECT TO THE C(I'IDITIONS OF THE ADDITIONAL <br />INSURED - OWNERS, LESSEES, OR CONTRACTORS - SCHEITULED PERSON OR ORGANIZATION ENDORSEI'IENT. <br />THE CERTIFICATE HOLDER IS AN ADDITIO,IAL INSURED ON BUSINESS AUTO LIABILITY ST'BJECT TO THE CONDITIOT.IS OF THE <br />BUSINESS AUTO ADDITIONAL INSURED ENMRSE}IENT <br />INSURANCE PROVIDED BY THE GENERAL LIABILITY COVERAEE IS PRIMARY AND NONCONTRIBUTORY OVER OTHER INSURANCE SUBJECT TO <br />THE COlrlDITI0,lS 0F THE PRIHARY AND NO.ICONTRIBUTORY CLAUSE- OTHER II.ISURANCE CO'IDITION. <br />INSURAI.ICE PROVIDED BY THE BUSINESS AUTO LIABILITY IS PRII'IARY AND M)NCONTRIBUTORY OVER OTHER INSURANCE SUBJECT TO <br />THE Cq{DITIONS OF THE PRII.IARY AND NO'ICONTRIBUTORY CLAUSE- OTHER II{SURANCE CO{DITION. <br />col'il.tERcIAL ut'tBRELLA FOLLOWS FORl.t ACCORDING TO THE TERI'|S, CoNDrTIOi|S, AND ENmRSEI'IENTS FoUND rN THE COMMERCTAL <br />UHBRELLA POLICY. <br />THIS ADDITIONAL REMARKS FORM IS A SCHPUTE TO ACORD FORM, <br />FORM NUMBERi 25 FORM TITLE: CERTIFICATE OF UABIUTY INSURANCE <br />ADDITIOI.IAL REMARKS <br />@ 2(m AcoRD CORPORATION. All rights resen ed. <br />The AcoRD name and logo are regislered marks of AcoRD <br />ACORD 101 €(mrul)