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AGENCY CUSTOMER ID: CNIO1608515 <br />LOC#: Philadelphia <br />A4C"R o ADDITIONAL REMARKS SCHEDULE Page 2 of 2 <br />AGENCY <br />NAMED INSURED <br />Marsh USA LLC <br />NBCUniversal Media, LLC <br />a Polly owned subsidiary of Con -cast Corporation <br />30 Rockefeller Plaza <br />POLICY NUMBER <br />New York, NY 10112 <br />CARRIER <br />NAIL CODE <br />EFFECTIVE DATE: <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 />NBCUniversal Media, LLC subsidiaries include, but are not limited to: Estrella Communication, LLC as operator of KVFA TV, 100 Universal City Plaza, Universal City, CA 91608 <br />IW fid. "GINNN <br />p <br />;. <br />RlskManagemrntDivisian <br />REVIEWED b APPROVED BY: <br />eI <br />® <br />Risk Management Speachst <br />The ACORD name and logo are registered marks of ACORD <br />