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ACCORD
—— ADDITIONAL REMARKS SCHEDULE Page 1 of 4
AGENCY License # 1760862] wamen insured
UB International New England PF oa oe ne:
POLICYRUMBER ‘Acton, MA 01720
EE PAGE 1 |
CARRIER — NAIG CODE
EE PAGE 1 SEEP1 EFFECTIVE DATE: GEE PAGE 1
ADDITIONAL REMARKS
THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM,
FORMNUMBER: ACORD25 FORM TITLE: Certificate of Liability Insurance —
Description of Operations/Locations/Vehicles:
Metropolitan Area Planning Gouncif (MAPC) and Greater Boston Pollce Council (GBPC) are named as an additional insured subject
to the terms and conditions af the General Liabllity and Automobile Liabllity when required by written contract.
ACORD 101 (2008/01) © 2608 ACORD CORPORATION. All rights reserved.
The ACORD name and logo are registerad marks of ACORD
