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AIIC RH
<br />AGENCY CUSTOMER ID, _838732
<br />LOC 0: Boston
<br />ADDITIONAL REMARKS SCHEDULE
<br />Page 2 of 3
<br />AGENCY
<br />MARSHUSA INC,
<br />NAMEDINSURED _-- —
<br />Sahnelder FlealrlD Holdinggs Ina.
<br />(Sea ppage 2 for Addlllorm f3amed Insureds)
<br />200 NDrlh Madingala Road, Bulls 1000
<br />Schaumburg, IL 60173
<br />POLICY NUMBER -
<br />CARRIER
<br />NAIC CODE
<br />B7rECTIVE CATS;
<br />THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM,
<br />FORM NUMBER: 26 FORM TITLE: Certlfloate of l.lablllt_ y Insurance
<br />ADDITIONAL NAMED INSUREDS INCLUDE THE FOLLOWING:
<br />Schnelder Eleatdo IT Corporation
<br />Schnelder Flsotdc IT USA, Ina,
<br />AST North Amass, LLC
<br />Sohnclder Eleotrlo IT Amerloa Corp,
<br />GRC Energy 8upporl Servlese, LLC
<br />Invonsys Systems, Ina.
<br />Invensys Systems, no, doe Solmsloer Pleofrlo Systems USA, Ina,
<br />Invonays Syslema, Inc, sea Suhnelder Eloetrlo Systems USA
<br />Induao0, Ina. -
<br />InStep Software, LLC
<br />Schneider Eleotrlo IT Mlsslon Critical Servlaea, Ina.
<br />Petra, Ina.
<br />Pro -Face Aeration, LLC
<br />Schnelder Electric Bulldings Ameticsia Inc.
<br />Sohnclder Eleclrlo BUIMIngs Crllimel Systems, Ins.
<br />Sohnclder Electric SUlltlings, LLC
<br />Sohnclder Efealdo Power Sarvlees, Ina,
<br />Schnelder Eleotrlo USA, Ina,
<br />Sclmoder Eleotrlo Enufneering Servlaes, LLC
<br />Sohnelder Electra Motlon USA, Ina.
<br />Scnnelder Electric Software, LLC
<br />Sohnalder Eleotrlo Solar Invaders, USA
<br />Summll Energy Serwoes, Inc,
<br />Talon( USA, LLC
<br />Sahnelder Eleotrlo Moblllly, NA, Inc.
<br />Telvenl DTN, LLC
<br />Verls MIMIC% LLC
<br />"ADDITIONAL WORKERS COMP POLICIES -
<br />CARRIER: NEW HAMPSHIRE INSURANCE COMPANY
<br />POLICY PERIOD: 01(01110 � 01/01117
<br />POLICY NUMBERS AND STATES:
<br />WC 08802200 (AL, AR, CO, CT, DO, DE, GA, 111, (A, ID, IN, KS, LA, MD, MI, MO, MS, MT, NE, NM, NV, NY, ON, OR, RI, SC, SD, TN, TX, WV)
<br />WC 000022403 (CA)
<br />WC 000022498 (FL)
<br />WC 068022404 (MA,ND,OH, WA,WI,WY)
<br />WC 060022491 (MN)
<br />WC 068022490 (IL, KY, NC, Nht, UT, VT)
<br />WC 080022497 (NJ, PA)
<br />WC 080022492 (ME)
<br />WC 008022495 (AT, VA)
<br />PUERTO RICO, WC IS PURCI ASED THROUGH THE STATE FUND AS PUERTO RI CO 18 MONOPOLISTIC,
<br />REVIEWED BY, q . EUfVICE H? REDtlA,(Pc. OF 6
<br />ACORD 1(2008101) 0 2008 ACORD CORPORATION. All rights raaavvad
<br />The ACORD name and logo are registered marks of ACORD
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