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WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC 04 00 02 <br />(Ed. 07.98) <br />EXTENSION OF INFORMATION PAGE <br />Schedule of Named Insured <br />Item 1 <br />Named Insured <br />Policy No. ATW 005341-00 <br />FEIN <br />Miller & Pidskalny Custom Woodwork (A Corp)33-0284783 <br />Exhibit C <br />