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AGENCY CUSTOMER ID: <br /> LOC#: <br /> A`40REP ADDITIONAL REMARKS SCHEDULE Page 2of2 <br /> PRODUCER INSURED <br /> McGriff Insurance Services,Inc American Electric Power Company,Inc and all Subsidiaries <br /> POLICY NUMBER <br /> CARRIER NAIC CODE <br /> ISSUE DATE: 06/23/2021 <br /> ADDITIONAL REMARKS <br /> THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, <br /> FORM NUMBER: FORM TITLE: <br /> (continued from previous page) <br /> Notice of Cancelation: <br /> Name and Address: <br /> Colorado Department of Natural Resources <br /> Division of Reclamation, Mining and Safety <br /> 1313 Sherman Street, Room 215 <br /> Denver, CO 80203 <br /> Number of days: 30 <br /> ACORD 101(2008101) 0 2008 ACORD CORPORATION. All rights reserved. <br /> The ACORD name and logo are registered marks of ACORD CERTIFICATE NUMBER:S6B78G3C <br />