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AGENCY CUSTOMER ID: <br />LOC #: <br />AnniT1ONAI RFMARKC -grwi= i ii F Paae 2 of 2 <br />AGENCY NAMED INSURED <br />Willis Towers Watson Insurance Services West, Inc. IEC Corporation <br />16485 Laguna Canyon Rd #300 <br />POLICY NUMBER Irvine, CA 92618 <br />See Page 1 <br />CARRIER NAIC CODE <br />See Page 1 See Page 1 EFFECTIVE DATE: See Page 1 <br />ADDITIONAL REMARKS <br />THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, <br />FORM NUMBER: 25 FORM TITLE: Certificate of Liability Insurance <br />Waiver of Subrogation applies in favor of Additional Insureds with respects to General Liability, Auto Liability and <br />Workers Compensation if required by written contract and as permitted by law. <br />ACORD 101 (2008/01) © 2008 ACORD CC <br />The ACORD name and logo are registered marks of ACORD <br />SR ID: 22641467 BATCH: 2542365 CERT: W24922255 <br />