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AGENCY CUSTOMER ID: 570000048582 <br /> LOC#: <br /> ADDITIONAL REMARKS SCHEDULE <br /> Page _ of _ <br /> AGENCY NAMEDIN5UREo <br /> Aon Risk services Northeast, Inc. Bureau Veritas North America, Inc <br /> POLICY NUMBER <br /> see certificate Number: 570119690993 <br /> CARRIER NAIC OODE <br /> see certificate Number: 570119690993 EFFECTIVE DATE: <br /> ADDITIONAL REMARKS <br /> THIS ADDITIONAL REMARKS FORM IS ASCHEDULE TO ACORD FORM, <br /> FORM NUMBER: ACORD 25 FORM TITLE: Certificate of Liability Insurance <br /> workers Compensation/Employers Liability <br /> 1OWNS41200 01/01/26-01/01/27 Trumbull insurance AR,DC,IN,LA,NE,RI,UT <br /> 10wNs41200 01/01/26-01/01/27 Twin City Fire Insurance Company FL,ND,OH,WA,WY <br /> 1OWNS41200 01/01/26-01/01/27 Hartford insurance company of the Midwest AK,ID <br /> 1OWNS41200 01/01/26-01/01/27 Hartford Casualty Insurance company M0,WV <br /> IOWNS41200 01/01/26-01/01/27 Nutmeg insurance company CT,IL <br /> 1OWNS41200 01/01/26-01/01/27 Hartford Fire Insurance Company NH,OR,PA <br /> IOWN541200 01/01/26-01/01/27 Hartford Accident and indemnity Company AL,GA,I<Y,MI,MT,NY,TN,VT <br /> 10WNs41200 01/01/26-01/01/27 Property & Casualty Ins Co of Hartford CA,CO,DE,ME, MN,MS,SC <br /> IOWNS41200 01/01/26-01/01/27 Hartford Insurance company of Illinois Tx <br /> IOWNS41200 01/01/26-01/01/27 Hartford insurance company of the southeast Ks,MD <br /> 1OWNS41200 01/01/26-01/01/27 Hartford Underwriters insurance company AZ,HI, NC,NJ,SD,VA <br /> 1OWNS41200 01/01/26-01/01/27 sentinel Insurance Company, Limited IA,NM,NV,OK <br /> 1OWBR541201 01/01/26-01/01/27 Twin city Fire insurance Company WI <br /> 10WBRs41201 01/01/26-01/01/27 sentinel Insurance company, Limited MA <br /> ACORD 101(2008101) ©200B ACORD CORPORATION.All rights reserved. <br /> The ACORD name and logo are registered marks of ACORD <br />