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FORM NUMBER: <br />EFFECTIVE DATE: <br />The ACORD name and logo are registered marks of ACORD <br />ADDITIONAL REMARKS <br />ADDITIONAL REMARKS SCHEDULE <br />FORM TITLE: <br />Page of <br />THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, <br />ACORD 101 (2008/01) <br />AGENCY CUSTOMER ID: <br />LOC #: <br />AGENCY NAMED INSURED <br />POLICY NUMBER <br />CARRIER NAIC CODE <br />© 2008 ACORD CORPORATION. All rights reserved. <br />Legacy Risk & Insurance Services <br />SCICONS-01 <br />SEE PAGE 1 <br />1 <br />SEE PAGE 1 <br />ACORD 25 Certificate of Liability Insurance <br />License # 0L72977 <br />1 <br />SEE P 1 <br />SCI Consulting Group <br />4745 Mangels Boulevard <br />Fairfield, CA 94534-4319 <br />SEE PAGE 1 <br />JPRASAD <br />1 <br />Deductibles <br />Professional Liability <br />$25,000 Per Claim <br />Docusign Envelope ID: CE088814-BCA6-46C6-A21B-7D7C037CCA3A