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AGENCY CUSTOMER ID: CN103160778 <br />LOC #: St. Louis <br />ACORO® <br />L—/ <br />ADDITIONAL REMARKS SCHEDULE <br />Page 2 of 2 <br />AGENCY <br />NAMEDINSURED <br />Marsh USA Inc. <br />New Cingular Wireless PCS, LLC <br />One AT&T Plaza <br />208 South Akard <br />POLICY NUMBER <br />Room 1820 <br />Dallas, TX 75202 <br />CARRIER <br />NAIL CODE <br />EFFECTIVE PATE: <br />REMARKS <br />THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, <br />FORM NUMBER: 25 FORM TITLE: Certificate Of Liability Insurance <br />Excess Workers' Compensation -MWXS 31363920 (OH -WA) <br />Self Insured Retentions <br />Of & WA-$500,000,000 (except Terrorism) <br />OH & WA - $600,000,000 Terrorism <br />Excess Automobile Liability - MWZX 31363720 (MI) <br />Combined Single Limit - $1,000,000 <br />Self Insured Retention - $1,000,000 <br />01 (2008/01) © 2008 ACORD <br />The ACORD name and logo are registered marks of ACORD <br />+e, Nuemougemer¢ultwoR <br />+ ' REVIEwED&APPRwm Br <br />hlii LL111111 F-++cw;.,.a �Q, VaLtiuL <br />'. <br />® Risk Management Analyst <br />