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AGENCY CUSTOMER ID: 10243827 <br />LOC #: <br />ADDITIONAL REMARKS SCHEDULE <br />Page _ of _ <br />AGENCY <br />ACT Ri Sk services Northeast, Inc. <br />NAMEDINSURED <br />7PMorgan Chase & Co. <br />POLICY NUMBER <br />see Certificate Number: 570062235566 <br />CARRIER <br />See Certificate Number: 570062235566 <br />NAIC CODE <br />EFFECTIVE DATE: <br />ADDITIONAL REMARKS <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 <br />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 />LTR <br />TYPE OF INSURANCE <br />ADDL <br />INSD <br />BURR <br />WVD <br />POLICY NUMBER <br />POLICY <br />EFFECTIVE <br />DATE <br />MM/OD/1'Y1'Y <br />POLICY <br />EXPIRATION <br />DATE <br />N[M/DD/YYYY <br />LIMITS <br />WORKERS COMPENSATION <br />A <br />N/A <br />WCO20681809 <br />CA <br />06/01/2016 <br />06/01/2017 <br />B <br />N/A <br />WC20681810 <br />AZ IL N] NY TX <br />06/01/2016 <br />06/01/2017 <br />C <br />N/A <br />wc020681811 <br />FL <br />06/01/2016 <br />06/01/2017 <br />B <br />N/A <br />WCO20681812 <br />MA ND OH WA WI WY <br />06/01/2016 <br />06/01/2017 <br />B <br />N/A <br />WCO20681813 <br />MN <br />06/01/2016 <br />06/01/2017 <br />/(' <br />ACORD 101 2008101 <br />i ©2008 ACORD CORPORATI hls The ACORD name and logo are registered marks of ACORD <br />tu <br />