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AGENCY CUSTOMER ID: 570000021966 <br />^� LOC #: <br />ADDITIONAL REMARKS SCHEDULE <br />Page _ of _ <br />AGENCY <br />Aon Risk services southwest, Inc. <br />NAMED INSURED <br />wood Group USA, Inc. <br />POLICY NUMBER <br />see Certificate Number: 570072245597 <br />CARRIER <br />see certificate Number: 570072245597 <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 />SUBR <br />WVD <br />POLICY NUMBER <br />POLICY <br />EFFECTIVE <br />DATE <br />(MM/DD/YYYY) <br />POLICY <br />EXPIRATION <br />DATE <br />(MM/DD/YYYY) <br />LIMITS <br />WORKERS COMPENSATION <br />c <br />N/A <br />RWCC64785825 <br />Work Comp- wI <br />05/01/2018 <br />01/31/2019 <br />OTHER <br />D <br />Env Site/Poll <br />CPL12456119 <br />Pollution <br />05/01/2018 <br />05/01/2019 <br />Each Loss <br />$5,000,006 <br />Aggregate <br />Llmit <br />$5,000,000 <br />ACORD 101 (2008/01) <br />The ACORD name and logo are registered marks of ACORD <br />a0 2008 ACORD CORPORATION, All rights reserved. <br />