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AGENCY CUSTOMER ID: 570000021966 <br /> LOC#: <br /> .41C-0/20® ADDITIONAL REMARKS SCHEDULE Page _ of _ <br /> AGENCY NAMED INSURED <br /> Aon Risk Services Southwest, Inc. wood Group USA, Inc. <br /> POLICY NUMBER <br /> See Certificate Number: 570070956275 <br /> CARRIER NAIC CODE <br /> See Certificate Number: 570070956275 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 /> INSR ADDL SUBR POLICY POLICY <br /> LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER EFFECTIVE EXPIRATION LIMITS <br /> DATE DATE <br /> (MM/DD/YYYY) (MM/DD/YYYY) <br /> WORKERS COMPENSATION <br /> C N/A RWCC64785825 05/01/2018 01/31/2019 <br /> Work Comp- WI <br /> OTHER <br /> E Env Site/Poll CPL12456119 05/01/2018 05/01/2019 Each Loss $5,000,000 <br /> Pollution <br /> Aggregate $5,000,000 <br /> Limit <br /> ACORD 101(2008/01) ©2008 ACORD CORPORATION.All rights reserved. <br /> The ACORD name and logo are registered marks of ACORD <br />