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AGENCY CUSTOMER ID: 570000021966 <br />LOC N: <br />4 0 ADDITIONAL REMARKS SCHEDULE <br />Page _ of _ <br />AGENCY <br />Aon Risk services Southwest, Inc. <br />N<VED NS'JRED <br />JWGUSA Holdings, Inc. <br />P(k CY NUMBER <br />See Certificate Numbe 570082940956 <br />CARRIER <br />See Certificate Numbe 570082940956 <br />I NAiC CODE <br />ErEECT-E DATE <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 <br />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 />1\\R <br />LrR <br />TY PE IK I'll RAICE <br />ADDL <br />ISSp <br />Sl9R <br />NYp <br />POLICY'tl\1RER <br />POLICY <br />EiTF <br />DATE <br />DATE <br />POLIO <br />EXPIRATION RATE <br />(MM/Dpll \'Y YI <br />LIMITS <br />OTHER <br />C <br />Env contr Poll <br />CP012456119 <br />Claims made- Poll. Liab. <br />SIR applies per policy to <br />07/01/2020 <br />ms & Condit <br />07/01/2021 <br />ons <br />Aggregate <br />LIMIT <br />S5,000,000 <br />Per Loss Lim! <br />S5,0001000 <br />REVIEWED <br />& APPROV <br />L <br />v <br />`L <br />L <br />ACCUSE) 101(0008101) C 2008 ACORD CORPORATION. All rights reserved. <br />The ACORD name and logo are registered marks of ACORO <br />