Laserfiche WebLink
AGENCY CUSTOMER ID: CN103150778 <br />LOC #: St. Louis <br />ADDITIONAL REMARKS SCHEDULE <br />AGENCY <br />Marsh USA Inc. <br />POLICY NUMBER <br />CARRIER <br />FORM NUMBER: 25 FORM TITLE: <br />Excess Workers' Compensation -MWXS 31363920 (OH -WA) <br />Sad Insured Retentions <br />OH & WA-$500,000.000 (except Terrorism) <br />OH & WA-$600,000,000 Tenobsm <br />Excess Automobile Liability- MWZX 31363720 (MI) <br />Contained Single UmiL $1.000,000 <br />Sel Insured Retention - $1.000,000 <br />NAIC CODE <br />NAMED INSURED <br />New Cingular Wireless PCS, LLC <br />One AT&T Plaza <br />208 South Akard <br />Room 1820 <br />Dallas, TX 75202 <br />EFFECTIVE DATE: <br />Page 2 of 2 <br />ACORD 101 (2008101) © 2008 ACORD C1 IMIT F"*O�K �_ I1:LlaunE <br />The ACORD name and logo are registered marks of ACORD �&eansge.ravw hr�ysr <br />