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Insurer A: The Insurance Company of the State of Pennsytvania
<br />The Workers' Compensation coverage shown does not apply in monopollstic states. In the State of ND, GH, WA, and WY Workers'
<br />Compensation coverage is provided by the State Fund. In those States, the above reference policies provide Stop -Gap Employers'
<br />Liability only, Workers' Compensation policies apply as Indicated below;
<br />AECOM
<br />WC 028328280- CA
<br />WC 026328281 - FL
<br />WC 028326282- MA,ND,Ofl,WA,Wi,WY
<br />WC 028328283 - ME
<br />WC 028320204-AK,AZ,VA
<br />WC 02852B285- IL,KY,NC,NH,UT,VT
<br />WC 028328286 • NJ, PA
<br />WC 028328287-AL,AR,CO,CT,DC,DE,CAHI,IA,ID,IN,KS,LA,MD,MI,MN,MO,MS,MT,NE,NM,NV,NY,OK,OR,RI,BC,SD,TN,TX,WV
<br />URS Corporation
<br />WC 028328288 -CA
<br />WC 028328280 -FL
<br />WC
<br />WC
<br />WC
<br />WC
<br />WC
<br />WC
<br />ACORD 101
<br />Mlsoellrmeous Attachment: M503712
<br />Master FD; 1389302, Certificate ID: 13241225
<br />URS CORPORATION AGR # TBD REVIEWED BY: /�� EUNICE HEREDIA (PG. 7 of 8)
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