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AGENCY CUSTOMER ID: <br />LOC #: <br />ACCOR o ADDITIONAL REMARKS SCHEDULE Page 2 of 3 <br />AGENCY NAMED INSURED <br />Willis (Bermuda) Limited Republic Services, Inc. <br />18500 N Allied Way Ste 100 <br />POLICY NUMBER Phoenix, AZ 85054 <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 />INSURER AFFORDING COVERAGE: Group Ark Insurance Limited NAIC#: D9965 <br />POLICY NUMBER: YLD25EA00715 EFF DATE: 06/30/2025 EXP DATE: 06/30/2026 <br />TYPE OF INSURANCE: LIMIT DESCRIPTION: LIMIT AMOUNT: <br />8th Excess Liability Limit $5,000,000 <br />part of $30,000,000 <br />excess over $50,000,000 <br />INSURER AFFORDING COVERAGE: Vantage Risk Ltd <br />POLICY NUMBER: P02XC0000020663 EFF DATE: 06/30/2025 EXP DATE: 06/30/2026 <br />TYPE OF INSURANCE: LIMIT DESCRIPTION: LIMIT AMOUNT: <br />8th Excess Liability Limit $2,500,000 <br />Part of: $30,000,000 <br />Excess of: $50,000,000 <br />INSURER AFFORDING COVERAGE: Allied World Assurance Company Limited <br />POLICY NUMBER: C001390/024 EFF DATE: 06/30/2025 EXP DATE: 06/30/2026 <br />TYPE OF INSURANCE: LIMIT DESCRIPTION: LIMIT AMOUNT: <br />9th Excess Liability Limit 15,000,000 <br />Part of 25,000,000 <br />Excess of 80,000,000 <br />INSURER AFFORDING COVERAGE: Arch Reinsurance Limited <br />POLICY NUMBER: URP400547/01/2025 EFF DATE: 06/30/2025 EXP DATE: 06/30/2026 <br />TYPE OF INSURANCE: LIMIT DESCRIPTION: LIMIT AMOUNT: <br />9th Excess Liability Limit 5,000,000 <br />Part of 25,000,000 <br />Excess of 80,000,000 <br />NAIC#: D9963 <br />NAIC#: D1571 <br />NAIC#: C0835 <br />ACORD 101 (2008/01) © 2008 ACORD CORPORATION. All rights reserved. <br />The ACORD name and logo are registered marks of ACORD <br />SR ID:28099957 BATCH:4045133 CERT: W39819109 <br />