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AGENCY CUSTOMER ID: CN102628835 <br /> LOC#: Chicago <br /> ACC O® ADDITIONAL REMARKS SCHEDULE Page 2 of 2 <br /> AGENCY NAMED INSURED <br /> MARSH USA LLC. PCL Construction Services,Inc. <br /> 655 N.Central Avenue,Suite 1600 <br /> POLICY NUMBER Glendale,CA 91203 <br /> CARRIER NAIC 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 /> 2ND EXCESS LIABILITY LAYER: <br /> CARRIER 1:National Liability&Fire Insurance Company 60%participation;$15,000,000.43-XIF-1009006 <br /> CARRIER 2:Starr Insurance and Reinsurance Limited 40%participation;510,000,000-1000012953241 <br /> nci <br /> Risk ManagernattDlviston <br /> REVIEWED&APPROVED BY: <br /> A .aAcevrdo <br /> Risk Management Specialist <br /> ACORD 101 (2008/01) ©2008 ACORD 1/ <br /> The ACORD name and logo are registered marks of ACORD <br />