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AC " <br />l_ _�' <br />AGENCY CUSTOMER ID: 838732 <br />LOC #: Boston <br />ADDITIONAL REMARKS SCHEDULE <br />Page 3 of 3 <br />AGENCY <br />NAMED INSURED <br />MARSH USA INC. <br />Schneider Electric Holdings, Inc. <br />(See page 2 for Additional Named Insureds) <br />200 North Martingale Road, Suite 1000 <br />POLICY NUMBER <br />Schaumburg, IL 60173 <br />CARRIER <br />NAIC CODE <br />EFFECTIVE DATE: <br />THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, <br />FORM NUMBER: 25 FORM TITLE: CertlflDato of Llabilltylnstu <br />OHIO ONLY EXCESS WORKERS COMP: <br />CARRIER: NATIONAL UNION FIRE INSURANCE COMPANY <br />POLICY PERIOD: 01101110 - 01101117 <br />POLICY NUMBER: 1103534 <br />LIMITS: EACH ACCIDENT: $3,000.000 / DISEASE -POLICY LIMIT: 3.000,000 / DISEASE -EACH EMPLOYEE: $3,000,000 <br />SELF -INSURED RETENTION: $2.000,000 <br />Umbrella Liability Polley follows underlying on Additional Insured and Waiver of Subrogation <br />Schneider Electric Holdings, Inc, has agreed that, within 30 days after receipt of coffee of cancellation of the Insurance pollcles referenced above from the applicable Insurers, <br />Schneider Electric Holdings, Inc. or Its designee will send a copy of such notice to the Certificate Holder of Its Cautious, Such notice Is not a right or obligation within the policies, It <br />does not alter or amend any coverage, It will not extend any policy cancellation date and It will not negate any cancellation of the policy Failure to provide a copy of such notice to <br />the Certificate Holder shall Impose no obligation or liability of any kind upon the Insurer or Its agents or representatives <br />2008 ACORD CORPORATION. All rights reserved. <br />I no Asarco name and logo are registered marks of ACORD <br />