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AGENCY CUSTOMER ID: <br />LOC#: <br />f4 C='C3I�� l <br />ADDITIONAL REMARKS SCHEDULE <br />Page 2 of 2 <br />AGENCY <br />NAMED INSURED <br />PENGUIN INSURANCE SERVICES <br />ESTELLATO TRE INC DBA CAFFE STELLATO <br />816 MIDDLEFIELD RD <br />POLICY NUMBER <br />SEE ACORD 25 <br />REDWOOD CITY CA 94063-1628 <br />CARRIER <br />NAIC CODE <br />SEE ACORD 25 <br />EFFECTIVE DATE: SEE ACORD 25 <br />ADDITIONAL REMARKS <br />THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM <br />FORM NUMBER: ACORD 25 FORM TITLE: CERTIFICATE OF LIABILITY INSURANCE <br />Notice of Cancellation will be provided in accordance with Form SL9013, attached to this policy. "The City of Redwood AND ITS <br />COUNCIL, OFFICERS, OFFICIALS, AGENTS, EMPLOYEES AND VOLUNTEERS, but only as required by a valid written <br />contract, agreement, or permit are additional insureds as provided by Blanket Additional Insured By Contract Endorsement, <br />Form SL 30 32 attached to this policy. Coverage is primary and noncontributory per the Business Liability Coverage Form SL <br />00 00, attached to this policy. Waiver of Subrogation applies in favor of the Certificate Holder per the Business Liability <br />Coverage Form SL 00 00, attached to this policy." <br />ACORD 101 (2014/01) © 2014 ACORD CORPORATION. All rights reserved. <br />The ACORD name and logo are registered marks of ACORD <br />ATTY/AGR.2025.342/Caffe Stellato (816 Middlefield Road - Caffe Stellato) (Page 18 of 27) <br />