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AGENCY CUSTOMER ID: 570000027366 <br /> LOC#: <br /> ADDITIONAL REMARKS SCHEDULE Page _ of _ <br /> AGENCY NAMED INSURED <br /> Aon Risk Services Northeast, Inc. Seattle SMSA Limited Partnership <br /> POLICY NUMBER <br /> See Certificate Number: 570080889163 <br /> CARRIER NAIC CODE <br /> See certificate Number: 570080889163 EFFECTIVE DATE: <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 /> INSURER(S) AFFORDING COVERAGE NAIC# <br /> INSURER <br /> INSURER <br /> INSURER <br /> INSURER <br /> ADDITIONAL POLICIES If a policy below does not include limit information,refer to the corresponding policy on the ACORD <br /> certificate form for policy limits. <br /> POLICY POLICY <br /> INSR ADDL SUBR POLICY NUMBERLIMITS <br /> LTR TYPE OF INSURANCE INSD WVD EFFECTIVE EXPIRATION <br /> DATE DATE <br /> (MM/DD/YYYY) (MM/DD/YYYY) <br /> AUTOMOBILE LIABILITY <br /> A CA 299-19-16 06/30/2019 06/30/2020 <br /> NH - Primary <br /> A CA 299-19-17 06/30/2019 06/30/2020 <br /> NH — Excess <br /> WORKERS COMPENSATION <br /> C N/A WC014649149 06/30/2019 06/30/2020 <br /> NY <br /> E N/A wc014649144 06/30/2019 06/30/2020 <br /> FL <br /> g N/A WC014649145 06/30/2019 06/30/2020 <br /> MA,ND,OH,WI,WY <br /> g N/A WC014649147 06/30/2019 06/30/2020 <br /> NJ,TX,VA <br /> ACORD 101(2008/01) ©2008 ACORD CORPORATION.All rights reserved. <br /> The ACORD name and logo are registered marks of ACORD <br />