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AGENCY CUSTOMER ID: 040356 <br />LOC F: 'aVashington <br />AGENCY <br />MARSH USA INC. <br />PcucY NUMSER <br />CARRIER <br />Ui 431P <br />THIS ADDITIONAL RE?AARKS FORRM 1S A SCHEDULE TO ACORD FORIA, <br />FORtaI INU&IBER: 25 FORM TITLE: Certificate of Liability lnsul <br />FlOELPf �AIDICRIhL <br />CARRIER: Grzat Amed[an leniaua G*mnany <br />POLICY NO.: FS ZJd 63-54 <br />EFF.:ExP 05f�01 1<.0;130ritl15 <br />JM:T-. $3 XP.. O0 <br />DED 5250, t' <br />NAMED INSURED <br />ICMAI2ETIREMENT CORP. <br />AMN: UJUANA THOMAS <br />7T7 NORTH CARITOL ST., HE <br />WASHINGTON, DC 2M <br />EFrcCTIVE DATE: <br />Page 2 of 2 <br />The ACORD na;n2 and IegD ar registered narks of ACORD <br />rese.'ved_ <br />