Laserfiche WebLink
ACORD 101 (2008/01) <br />The ACORD name and logo are registered marks of ACORD <br />© 2008 ACORD CORPORATION. All rights reserved. <br />THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, <br />FORM NUMBER:FORM TITLE: <br />ADDITIONAL REMARKS <br />ADDITIONAL REMARKS SCHEDULE Page of <br />AGENCY CUSTOMER ID: <br />LOC #: <br />AGENCY <br />CARRIER NAIC CODE <br />POLICY NUMBER <br />NAMED INSURED <br />EFFECTIVE DATE: <br />INSIPAR-02 <br />1 1 <br />Alliant Insurance Services,Inc.CivicPlus,LLC and its direct and indirect <br />subsidiaries <br />302 S.4th Street Suite 500 <br />Manhattan KS 66502 <br />25 CERTIFICATE OF LIABILITY INSURANCE <br />NextRequest,LLC <br />City of Pleasanton,its officers,employees,and agents are included as Additional Insured with regards to the General Liability as required by written contract <br />subject to the policy terms and conditions. <br />Docusign Envelope ID: E6A09D68-60FB-4EEF-91C3-94E7A9EF9F79