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AGENCY CUSTOMER ID: <br />LOC #: <br />22 <br />Page of <br />ADDITIONAL REMARKS SCHEDULE <br />AGENCYNAMED INSURED <br />Fifth Asset, Inc., d/b/a DebtBook <br />Willis Towers Watson Northeast, Inc. <br />1431 W Morehead St. Suite 200 <br />POLICY NUMBER Charlotte, NC 28208 <br />See Page 1 <br />CARRIERNAIC CODE <br />See Page 1See Page 1 <br />EFFECTIVE DATE: <br />See Page 1 <br />ADDITIONAL REMARKS <br />THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, <br />25Certificate of Liability Insurance <br />FORM NUMBER:FORM TITLE: <br />Certificate Holder is included as an Additional Insured as respects to General Liability. <br />Waiver of Subrogation applies in favor of Additional Insured with respects to General Liability. <br />INSURER AFFORDING COVERAGE: Evanston Insurance Company NAIC#: 35378 <br />POLICY NUMBER: MKLV1WMA000693 EFF DATE: 02/01/2024 EXP DATE: 02/01/2025 <br />TYPE OF INSURANCE: LIMIT DESCRIPTION: LIMIT AMOUNT: <br />Indemnifiable D&O Liability Aggregate $3,000,000 <br />INSURER AFFORDING COVERAGE: Everspan Indemnity Insurance Company NAIC#: 16882 <br />POLICY NUMBER: EM3EII-AX-000992-01 EFF DATE: 02/01/2024 EXP DATE: 02/01/2025 <br />TYPE OF INSURANCE: LIMIT DESCRIPTION: LIMIT AMOUNT: <br />Tech E&O/Cyber Liability Aggregate $5,000,000 <br />CzDzouijbNpsbbu5;29qn-Opw2:-3135 <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:BATCH:CERT: <br />266243293673054W35830558 <br /> <br />