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AGENCY CUSTOMER ID: 10243827 <br />LOC N: <br />A� ADDITIONAL REMARKS SCHEDULE <br />Pace _ of <br />AGENCY <br />Aon Risk services Northeast, Inc. <br />NAMEDINSURED <br />7PMorgan chase & Co. <br />POLICYNUMBER <br />see certificate Number: 570090514371 <br />CARRIER <br />see certificate Number: 570090514371 <br />NAIC CODE <br />EFFECTIVE DATE: <br />AULT I IURAL MCMANNZ, <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 <br />Um <br />TYPE OF INSURANCE <br />pDDL <br />INSD <br />SUBR <br />wVD <br />POLICY NUMEER <br />POLICY <br />EFFECTIVE <br />GATE <br />(MM/DD/Yl'Yq <br />POLICY <br />EXPIRATION <br />DATE <br />(MM/OD/YYVY) <br />LLMITS <br />WORKERS COMPENSATION <br />B <br />N/A <br />WC16393212 <br />CA <br />SIR applies per policy to <br />06/01/2021 <br />ms & condit <br />06/01/2022 <br />ons <br />B <br />N/A <br />WC016393215 <br />AZ IL NJ TX <br />SIR applies per policy to <br />06/01/2021 <br />ms & condit <br />06/01/2022 <br />ons <br />B <br />N/A <br />WC16393214 <br />wr <br />SIR applies per policy to <br />06/01/2021 <br />ms & condit <br />06/01/2022 <br />ons <br />B <br />N/A <br />wc16393213 <br />NY <br />SIR applies per policy to <br />06/01/2021 <br />ms & condit <br />06/01/2022 <br />ons <br />IDJI <br />The ACORD name and logo are registered marks of ACORD <br />©2006 ACORD Risk MimfigmnmtDhielon <br />RENEWED & APPROVED BY: <br />® Risk Management Malyst <br />