Page 80 - Cabrillo Square Closeout Manual

AGENCY CUSTOMER ID: ORYXPAI-C1
LOC #:
ADDITIONAL REMARKS SCHEDULE Page of 1
1
AGENCY NAMED INSURED
Lovitt & Touché - Tucson Oryx Painting, LLC
dba: Investment Painting Services
POLICY NUMBER 1243 E Tierra Buena Ln
Phoenix AZ 85022
CARRIER NAIC CODE
EFFECTIVE DATE:
ADDITIONAL REMARKS
THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM,
FORM NUMBER: 25 FORM TITLE: CERTIFICATE OF LIABILITY INSURANCE
1) Automatic Additional Insured - form #AA265 01-16
2) Waiver of Subrogation included if required by written contract - form #AA265 01-16

WORKERS COMPENSATION:
1) Blanket Waiver of Subrogation included if required by written contract - form WC
Umbrella policy is follow form over General Liability, Automobile and Workers Compensation policies.

PROJECT #2003: Cabrillo Square Homeowners Association, 7800 E Lincoln Drive, Scottsdale, AZ 85250.

ACORD 101 (2008/01) © 2008 ACORD CORPORATION. All rights reserved.
The ACORD name and logo are registered marks of ACORD