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AGENCY CUSTOMER ID: 570000027366 <br /> LOC#: <br /> A. 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: 570073665820 <br /> CARRIER NAIC CODE <br /> See Certificate Number: 570073665820 EFFECTIVE DATE- <br /> ADDITIONAL <br /> ATEADDITIONAL 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 EFFECTIVE EXPIRATION <br /> LTR TYPE OF INSUR ANCE IVSD WVU POLICY NUMBER LIMITS <br /> DATE DATE <br /> (MYI/DD/YYYY) (MINI/DD/YYYY) <br /> AUTOMOBILE LIABILITY <br /> A CA 774-22-65 06/30/2018 06/30/2019 <br /> NH - Primary <br /> A CA 774-22-66 06/30/2018 06/30/2019 <br /> NH - Excess <br /> WORKERS COMPENSATION <br /> p N/A WC014590552 06/30/2018 06/30/2019 <br /> FL <br /> B N/A wc014590553 06/30/2018 06/30/2019 <br /> ME <br /> 8 N/A wc014590549 06/30/2018 06/30/2019 <br /> N],NY,TX,VA <br /> B N/A wc014590554 06/30/2018 06/30/2019 <br /> MA,ND,OH,WA,WI,WY <br /> ACORD 101(2008/01) ©2008 ACORD CORPORATION.All rights reserved. <br /> The ACORD name and logo are registered marks of ACORD <br />