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AGENCY CUSTOMER ID: <br /> LOC#: <br /> ,a`oRo ADDITIONAL REMARKS SCHEDULE Page 2 Of 2 <br /> AGENCY NAMED INSURED <br /> Willis Towers Watson Northeast, Inc. Fifth Asset, Inc., d/b/a DebtBook <br /> 1930 Camden Road, Ste 200 <br /> POLICY NUMBER Charlotte, NC 28203 <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 /> Certificate Holder is included as an Additional Insured as respects to General Liability. <br /> General Liability policy shall be Primary and Non-contributory with any other insurance in force for or which may be <br /> purchased by Additional Insured. <br /> Waiver of Subrogation applies in favor of Certificate Holder with respects to General Liability. <br /> INSURER AFFORDING COVERAGE: Fortegra Specialty Insurance Company NAIC#: 16823 <br /> POLICY NUMBER: C-4MX3-026167-CYBER-2025A EFF DATE: 11/01/2025 EXP DATE: 11/01/2026 <br /> TYPE OF INSURANCE: LIMIT DESCRIPTION: LIMIT AMOUNT: <br /> Cyber Tech E&O Aggregate Limit $5,000,000 <br /> INSURER AFFORDING COVERAGE: Evanston Insurance Company NAIC#: 35378 <br /> POLICY NUMBER: MKLVlWMA001602 EFF DATE: 11/01/2025 EXP DATE: 11/01/2026 <br /> TYPE OF INSURANCE: LIMIT DESCRIPTION: LIMIT AMOUNT: <br /> Indemnifiable D&O Liability Each Claim/Aggregate $3,000,000 <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: 28854873 BATCH: 4202913 CERT: W41749067 <br />