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AC V <br />II.� <br />AGENCY CUSTOMER ID: 838732 <br />LOC #: Boston <br />ADDITIONAL REMARKS SCHEDULE <br />Page 2 of 2 <br />AGENCY <br />NAMED INSURED <br />MARSH USA INC <br />TELVENT USA LLC <br />1390 PICCARD DRIVE SUITE 200 <br />ROCKVILLE, MD 20850 <br />POLICY NUMBER <br />CARRIER <br />NAIL CODE <br />EFFECTIVE DATE <br />THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, <br />FORM NUMBER: 25 FORM TITLE: Certificate of Liability Insurance <br />ADDITIONAL NAMED INSJREDS INCLUDES THE FOLLOWING <br />Telvent Farradyne Engineering P C <br />Telvent Services Inc <br />ADDITIONAL WORKER'S COMP POLICIES- 01'01;13 - 01101/14 <br />WC 018112550 (A! AR AZ CO CT DC GA HLIA.IDJL INKS KY LA.MD ME.MI,MN,MOMS, MT.NC.NE.NH.NJ.NM,NV.NY.OK.PA RLSC SD TN TX.UT VA.VI WV) New Hampshire Insurance Company <br />WC 018112551 (OR) . New Hampshire Insurance Company <br />WC 018112555 (MA ND OH. WA.WI WY) - New Hampshire Insurance Company <br />WC 018112554 (MN) New Hampshire Insurance Company <br />PUERTO RICO WC IS PURCHASED THROUGH THE STATE FUND AS PUERTO RICO IS MONOPOLISTIC <br />OHIO ONLY EXCESS WORKERS CCMP 01'01;13 - 01,01!14 <br />6636165 - National Umon Fire insurance Company <br />EACH ACCIDENT $3.000.000 <br />DISEASE -POLICY LIMIT $3,000000 <br />DISEASEEACHEMPLOYEE $3 000.000 <br />SELF INSURED RETENTION $2.00C 000 <br />Telvent USA L_C rias agreed that within 30 days after receipt of notice of cancellation of the insurance policies referenced above from the applicable insurers. Telvent USA LLC or its designee will send a copy Cfsuch <br />notice to the Certficate Holder of this Certificate Such notice is not a right or obligation within the policies, it does not alter or amend any coverage. it will not extend any policy cancellaWr date and it will not regate any <br />cancellation of the policy Fanure to provide a copy of such notice to the Certificate Holder shall impose no obligation or liability of any kind upon the insurer or its agents or representatives <br />ACnDr14n4 ronnorn4i <br />U 2006 ACORD CORPORATION. All rights reserved. <br />The ACORD name and logo are registered marks of ACORD <br />