Laserfiche WebLink
AGENCY CUSTOMER ID: 570000036654 <br />i"1 ® LOC #: <br />A� o ADDITIONAL REMARKS SCHEDULE Paoe _ of <br />AGENCY <br />ACT Risk insurance Services west, Inc. <br />NAMED INSURED <br />Tetra Tech, Inc. <br />POLICYNUMBER <br />See Attached certificate <br />CARRIER <br />See Attached certificate <br />NAIC CODE <br />EFFECTIVE DATE: <br />AUIII IIUIVAL MtMAKKb <br />THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, <br />FORM NUMBER: ACORD 25 FORM TITLE: Certificate Of Liability Insurance <br />Stop Gap coverage for the following states: Oft, ND, WA, WY. <br />ACORD fill (2008101 ) ® 2008 ACORD CDRPOR/ <br />The ACORD name and logo are registered marks of ACORD <br />Risk Management D rvision <br />REVIEWED&APPROvm BY: <br />a <br />i �'nau.c:-a.l �. V:.QiwucQ <br />Risk Management Analyst <br />