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Attachment to ACO" Certificate For G4S Secure solutions (USA) Inc. <br />The terms. conditions and provisions noted below are hereby attached to the captioned certificate as additional description of the coverage <br />alTorded by the insurer(s). "chis attachment docs not contain all terms. conditions. coverages or exclusions contained in the policy. <br />INSURED <br />G4S Secure Solutions (USA) Inc. <br />1395 university Blvd <br />Jupiter FL 33458 USA <br />INSURER <br />INSURER <br />INSURER <br />INSURER <br />INSURER <br />ADDITIONAL POLICIES 11'a policy belowdoes not include limit information, relcr to the corresponding policy on the ACORD <br />certificate form for policy limits. <br />[NSR <br />LTR <br />TYPE OF INSURANCE <br />ADUL <br />INSR <br />SUER <br />N'\'D <br />POLICY SUNDER/ <br />POLICI'DESCRIFFION <br />POLICY EFF <br />11111/DD/Yl'1'1) <br />POLICY ERP <br />1DI11/DD/ll'YY) <br />LUI r'S <br />WORKERS COMPENSATION <br />C <br />N/A <br />WC043464617 <br />FL <br />10/01/2012 <br />10/01/2013 <br />B <br />N/A <br />WC043464618 <br />MN <br />0/01/2012 <br />10/01/2013 <br />A <br />PROVE <br />Certificate No : 570047577940 Laura Stilt Sheehy <br />Assistant City Attorrw� <br />