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AGENCY CUSTOMER ID: 10243827 <br />LOC #: <br />ADDITIONAL RFMARKR -qrHRni 11 F n, <br />AGENCY <br />NAMED INSURED <br />Aon Risk Services Northeast, Inc. <br />7PMorgan chase & co. <br />POLICY NUMBER <br />see certificate Number: 570062235566 <br />INSURER <br />CARRIER <br />NAIC CODE <br />See certificate Number: 570062235566 <br />INSURER <br />EFFECTIVE DATE: <br />nvui t iviv�r name' {MRQ <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 />INBR <br />LTR <br />ME OF INSURANCE <br />ASDL <br />INSD <br />SORB <br />WVD <br />POLICYNUMDER <br />POLICY <br />EFFECTIVE <br />DATE <br />Mmufr) YYYI <br />POLICY <br />EXPIRATION <br />DAA <br />Mavml/YYYY <br />LIMITS <br />WORKERS COMPENSATION <br />A <br />N/A <br />WCO20681809 <br />CA <br />06/01/2016 <br />—6-676-172-617 <br />B <br />N/A <br />WC20681810 <br />AZ IL N7 NY TX <br />06/01/2016 <br />06/01/2017 <br />C <br />N/A <br />WCO20681811 <br />FL <br />06/01/2016 <br />06/01/2017 <br />B <br />N/A <br />WCOZO681812 <br />MA ND ON WA WI WY <br />070-72-016) <br />06/01/2017 <br />B <br />N/A <br />WCO20691813 <br />AN <br />06/01/2016 <br />06/01/2017 <br />ACORD 101 (20 0 8101) <br />The ACORD name and logo are reglatored marks of ACORD <br />m 2008 ACORD CORPORATICEY fights <br />4ek"ewGt� 6Iy I <br />Aer�..4' 2 0� L <br />