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THIS FORM IS A
<br />HEDULE TO
<br />FORM NUMBER:
<br />REMARKS RIFORM TITLE Certificate of LiACORD Liability insurance
<br />RISK CONTROL 360, LLC
<br />RISK MANAGEMENT SOLUTIONS, INC.
<br />RISKCONTROL SERVICES, LLC
<br />RMS ACQUISITION, INC.
<br />ROCKPORT COMMUNITY NETWORK, INC
<br />-
<br />SAMS & ASSOCIATES, INC.
<br />SAMS INVESTIGATIONS UNLIMITED, INC.
<br />THE FRANK GATES COMPANIES, INC.
<br />THE FRANK GATES SERV€CE COMPANY
<br />I'HE FRANK GATES SERVICE COMPANY INTEGRATED MANAGED CARE HEALTH PLAN, INC.
<br />THE RISK MANAGEMENI PLANNING GROUP, INC.
<br />VANTAGE HEALTH PLAN, INC.
<br />VISUAL RISK SOLUTIONS, INC.
<br />VOCWORKS LTD.
<br />WELLCOMP MANAGED CARE SERVICES, INC.
<br />YORK INSURANCE ACQUISITION, LLC
<br />YORK INSURANCE HOLDINGS, INC
<br />YORK INSURANCE PARENT CORP.
<br />YORK INSURANCE SERVICES GROUP„ INC. -CALIFORNIA
<br />YORK PRO, INC,
<br />YORK RISK CONTROL SERVICES, LLC
<br />YORK RISK POOLING SERVICES, INC.
<br />YORK RISK SERVICES GROUP INTERNATIONAL HOLDINGS, LTD,
<br />YORK RISK SERVICES GROUP, INC,
<br />YORK RISK SERVICES GROUP, INC. - FLORIDA
<br />YORK RISK SERVICES HOLDING CORP.
<br />YORK RISK SERVICES ORGANIZATION, INC.
<br />YORK RSG (INTL) COLOMBIA SAS
<br />YORK RSG (INTI..) LT D,
<br />YORK RSG (INTL) MEXICO S. DE R.L DE C.V.
<br />YORK SPECIAL INVESTIGATIONS, INC.
<br />YORK WMCS CORP.
<br />MCMC LLC
<br />MCMC INDEPENDENT EXAMS, LLC
<br />COMPEVAL DD EXAMS, LLC
<br />LITIGATION SOLUTIONS, LLC (EXCEPT GENERAL LIABILITY)
<br />MANAGED CARE NETWORK SERVICES, LLC
<br />COMPPARTNERSINC.
<br />QUICK CAT, LLC
<br />Page 3 of 3
<br />ACORD 101 (2008/01) @ 2008 ACORD CORPORATION, All rights reserved.
<br />The ACORD name and logo are registered marks of ACORD
<br />% r`
<br />AGENCY CUSTOMER ID: 123456
<br />LOC #: Morristown
<br />C
<br />ADDITIONAL, REMARKS SCHEDULE
<br />AGENCY
<br />NAMED INSURED
<br />MARSH USA, INC.
<br />Onex York Holdings Corp,
<br />and ils Subsidiaries
<br />1 Upper Pond Road
<br />POLICY NUMBER
<br />Building F, 41h Floor
<br />Parsippany,, NJ 07054
<br />CARRIER
<br />NAIL CODE
<br />EFFECTIVE DATE:
<br />THIS FORM IS A
<br />HEDULE TO
<br />FORM NUMBER:
<br />REMARKS RIFORM TITLE Certificate of LiACORD Liability insurance
<br />RISK CONTROL 360, LLC
<br />RISK MANAGEMENT SOLUTIONS, INC.
<br />RISKCONTROL SERVICES, LLC
<br />RMS ACQUISITION, INC.
<br />ROCKPORT COMMUNITY NETWORK, INC
<br />-
<br />SAMS & ASSOCIATES, INC.
<br />SAMS INVESTIGATIONS UNLIMITED, INC.
<br />THE FRANK GATES COMPANIES, INC.
<br />THE FRANK GATES SERV€CE COMPANY
<br />I'HE FRANK GATES SERVICE COMPANY INTEGRATED MANAGED CARE HEALTH PLAN, INC.
<br />THE RISK MANAGEMENI PLANNING GROUP, INC.
<br />VANTAGE HEALTH PLAN, INC.
<br />VISUAL RISK SOLUTIONS, INC.
<br />VOCWORKS LTD.
<br />WELLCOMP MANAGED CARE SERVICES, INC.
<br />YORK INSURANCE ACQUISITION, LLC
<br />YORK INSURANCE HOLDINGS, INC
<br />YORK INSURANCE PARENT CORP.
<br />YORK INSURANCE SERVICES GROUP„ INC. -CALIFORNIA
<br />YORK PRO, INC,
<br />YORK RISK CONTROL SERVICES, LLC
<br />YORK RISK POOLING SERVICES, INC.
<br />YORK RISK SERVICES GROUP INTERNATIONAL HOLDINGS, LTD,
<br />YORK RISK SERVICES GROUP, INC,
<br />YORK RISK SERVICES GROUP, INC. - FLORIDA
<br />YORK RISK SERVICES HOLDING CORP.
<br />YORK RISK SERVICES ORGANIZATION, INC.
<br />YORK RSG (INTL) COLOMBIA SAS
<br />YORK RSG (INTI..) LT D,
<br />YORK RSG (INTL) MEXICO S. DE R.L DE C.V.
<br />YORK SPECIAL INVESTIGATIONS, INC.
<br />YORK WMCS CORP.
<br />MCMC LLC
<br />MCMC INDEPENDENT EXAMS, LLC
<br />COMPEVAL DD EXAMS, LLC
<br />LITIGATION SOLUTIONS, LLC (EXCEPT GENERAL LIABILITY)
<br />MANAGED CARE NETWORK SERVICES, LLC
<br />COMPPARTNERSINC.
<br />QUICK CAT, LLC
<br />Page 3 of 3
<br />ACORD 101 (2008/01) @ 2008 ACORD CORPORATION, All rights reserved.
<br />The ACORD name and logo are registered marks of ACORD
<br />% r`
<br />
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