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AGENCY CUSTOMER ID: 123456
<br />LOC #: Morristown
<br />ACCA?" ADDITIONAL, REMARKS SCHEDULE Page 2 of 3
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<br />AGENCY NAMED INSURED
<br />MARSH USA, INC. Onex York Holdings Corp
<br />and its Subsidiaries
<br />POLICY NUMBER 1 Upper Pond Road
<br />Building F, 4t61 Floor
<br />Parsippany, NJ 07054
<br />CARRIER NAIL CODE
<br />EFFECTIVE DATE: ._._
<br />ADDITIONAL REMARKS
<br />THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM,
<br />FORM NUMBER: 25 FORM TITLE: Certificate of Liability Insurance
<br />NAMED INSUREDS:
<br />ADIN HEALTHCARE, INC.
<br />ALAMED HOLDINGS, INC.
<br />ARIC OF MISSISSIPPI, IN'C,
<br />ARROWOOD INVESTMENTGROUP, LLC
<br />ATLANTIC GATEWAY INTERNATIONAL (SAC) LTD.
<br />ATTENTA SERVICES, LLC
<br />AXIS (EASTERN CARIBBEAN) LIMITED
<br />AXIS (JAMAICA) LIMITED
<br />AXIS OF ARGENTINA S.A.
<br />AXIS INTERNATIONAL SERVICES LTD
<br />,(BICKMORE LD,(BICKMORE
<br />BROWN REHABILITATION MANAGEMENT, INC
<br />CARLWORKSL.ID.
<br />CAREWORKS OF OHIO LTO.
<br />CA.REWORKS TECHNCLOCIIFS LTD.
<br />CAREWORKS USA LTD.
<br />CGI INVESTMENTS, LLC
<br />CCC), INC.
<br />CMI, A YORK RISK SERVICES COMPANY, INC.
<br />DONALD K. SAMS K ASSOCIATES, INC,
<br />F. A. RICHARD & ASSOCIATES, INC.
<br />EARA ADJUSTING SERVICES, INC,
<br />FARA BENEFIT SERVICES, 'NC,
<br />EARA BUSINESS SERVICES, INC
<br />-
<br />FARA GENERAL AGENCY, INC.
<br />EARA. SECURITY SERVICES,, INC.
<br />FOX HILL HOLDINGS, INC.
<br />FRANK GATES (BERMUDA) LTD
<br />FRANK GATES ACCLAIM, INC,
<br />FRANK GATES ALTERNATIVE RISK, LLC
<br />FRANK GATES OF NEW YORK, INC,
<br />G2 TECHNOLOGIES, INC.
<br />INI EGRAT'ED RISK MANAGEMENT, INC.
<br />JI SPECIAL RISKS INSURANCE AGENCY, INC -
<br />JI SPECIALTY SERVICES, IMC.
<br />JOSEPH IVY FINANCIAL GROUP, INC.
<br />NATIONAL EMPLOYERS NETWORK ALLIANCE, INC
<br />NEXUS ASSET ACQUISH YON CO.
<br />OHR INC.
<br />GMAC AGENCY, INC.
<br />ONEX YORK FINANCE LLC
<br />ONEX YORK FINANCE. LP
<br />ON EX YORK MID CORP.
<br />PERSI, LLC
<br />PUBLIC ENTITY RISK SERV'CES OF ILLINOIS, LLC
<br />PUBLIC ENTITY RISK SERVICES OF OHIO, INC,
<br />ACORD 101 (2008/01) @ 2008 ACORD CORPORATION. All rights reserved,
<br />The ACORD name and logo are registered marks of ACORD
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