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AGENCY CUSTOMER ID: <br /> LOC#: <br /> ACoR" ADDITIONAL REMARKS SCHEDULE Page 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 /> for or which may be purchased by Additional Insureds if required by written contract. <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 /> Ri�r. D <br /> REVIEWED&APPROVED Br. <br /> ACORD 101 (2008101) ©2008 ACORD C( Fed. <br /> The ACORD name and logo are registered marks of ACORD <br /> Risk Management Analyst <br /> SR ID: 22913564 BATCH: 2619772 CERT: W25600572 <br />