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AGENCY CUSTOMER ID: <br /> LOC#: <br /> AR ADDITIONAL REMARKS SCHEDULE Page 2 of 2 <br /> AGENCY NAMED INSURED <br /> Willis Towers Watson Midwest, Inc. fka Willis of Minnesota, Inc. HDR Engineering, Inc. <br /> , 1917 South 67th Street <br /> POLICY NUMBER Omaha, NE 68106 <br /> See Page 1 <br /> CARRIER NAIC CODE <br /> See Page 1 See Page 1 EFFECTIVE DATE: See Page 1 <br /> ADDITIONAL REMARKS <br /> THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, <br /> FORM NUMBER: 25 FORM TITLE: Certificate of Liability Insurance <br /> Employers Liability for the Monopolistic States of ND, OH, WA & WY is provided in the Workers Compensation policy. <br /> Additional Insureds: The City of Everett, its officers, employees and agents. <br /> General Liability policy applies Off-Site operations. <br /> ACORD 101 (2008/01) ©2008 ACORD CORPORATION. All rights reserved. <br /> The ACORD name and logo are registered marks of ACORD <br /> SR ID: 18109101 BATCH: 1243229 CERT: W11634792 <br />