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ACORO® <br />AGENCY CUSTOMER ID: CN102452723 <br />LOC #: Irvine <br />ADDITIONAL REMARKS SCHEDULE <br />Page 2 of 2 <br />AGENCY <br />NAMED INSURED <br />Marsh Risk & Insurance Serviceso <br />Overland, Pacific & Cutler, LLCM <br />3750 Schaufele Avenue[ <br />Suite 1501 <br />POLICY NUMBER <br />Long Beach, CA 90808 <br />CARRIER <br />NAIC CODE <br />EFFECTIVE DATE: <br />THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, <br />FORM NUMBER: 25 FORM TITLE: Certificate of Liability Insurance <br />Workers Compensation Carriers (by State): o <br />1) CA - Hartford Fire Insurance 0 <br />2) NV - Twin City Fire Insurance Company 7 <br />3) TX - Hartford Underwriters r <br />ACORD 101 (2008101) © 2008 ACORD CORPORATION. All rights reserved. <br />The ACORD name and logo are registered marks of ACORD 11, <br />REVIEWED BY: IWAEUNICE HEREDIA (PG7� OF <br />