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AGENCY CUSTOMER ID: 040356 <br />_ LOC #: Washington <br />AC"R t ADDITIONAL REMARKS SCHEDULE Page 2 of 2 <br />11i — <br />AGENCY <br />NAMED INSURED <br />MARSH USA INC. <br />OVA RETIREMENT CORP. <br />ATTN: D'JUANA THOMAS <br />777 NORTH CAPITOL ST., NE <br />POLICY NUMBER <br />WASHINGTON, DC 20002 <br />CARRIER <br />NAIC CODE <br />EFFECTIVE GATE: <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 />FIDELITY BOND/CRIME: <br />CARRIER: Great American Insurance Company <br />POLICY NO.: FS 234 -63 -54 <br />EFFIEXP', 06130/2016 - 06/3012017 <br />LIMIT: $25,000,000 <br />DED',$250,000 <br />ACORD 101 (2008/01) ©2008 ACORD CORPORATION. All rights reserved. <br />The ACORD name and logo are registered marks of ACORD <br />