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ZU RQU I <br />Construction Services, Inc PHONE & FAX PROJECT MANAGER I EMAIL <br />+305- 221 -6100 Eddy Gonzales Jr <br />+305- 221 -6110 Eddy @zurquis.com <br />ACORQ., <br />AGENCY <br />een Battle Mead & Com <br />AGENCY CUSTOMER ID: <br />LOC #: <br />ADDITIONAL REMARKS SCHEDULE <br />NAIEDINSURED <br />Zurqui Construction Service, Inc <br />,LICY NUMBER Miami, FL 33165 <br />CARRIER I NAIC CODE <br />ADDITIONAL REMARKS <br />THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, <br />FORM NUMBER: 25 FORM TITLE: ACORD Certificate O, <br />Garage Liability <br />INSR AOD'L <br />LTR INSRO POLICYNUMBER <br />ANYAUTO <br />Automobile Liability <br />NSR AOD'L <br />LTR INSRD <br />B X COLL DED $1,000 <br />Excess /Umbrella Liability <br />NSR AOD'L <br />"i INSRD <br />Other Liability <br />INSR <br />LTR <br />POLICY NUMBER <br />POLICY NUMBER <br />POLICY NUMBER <br />EFFECTIVE DATE: <br />Page of <br />POLICY EFFECTIVE POLICY EXPIRATION <br />DATE(MM/DDIYY) DATE(MM1OD/YY) LIMITS <br />AUTO ONLY - EA ACCIDENT S <br />POLICY EFFECTIVE POLICY EXPIRATION <br />DATE (MMIDDIYY) DATE (MIAIOD/YY) <br />POLICY EFFECTIVE POLICY EXPIRATION <br />DATE (MMIDDIYY) DATE (MM/DDNY) <br />POLICY EFFECTIVE POLICY EXPIRATION <br />DATE (MM1DOIYY) DATE (MMIDDIYY) <br />© 2008 A( <br />The ACORD name and logo are registered marks of ACORD <br />OTHER THAN EA ACC S <br />AUTO ONLY AGG S <br />LIMITS <br />5 <br />LIMITS <br />CORPORATION. All <br />