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AGENCY CUSTOMER ID: 040356 <br />LOC #: Washington <br />ACOR °® <br />L ADDITIONAL REMARKS SCHEDULE Page 2 of 2 <br />AGENCY <br />NAMEDINSURED <br />MARSH USA INC. <br />ICMA RETIREMENT CORP. <br />ATTN: D'JUANA THOMAS <br />777 NORTH CAPITOL ST., HE <br />POLICY NUMBER <br />WASHINGTON, DC 20002 <br />CARRIER <br />NAIC 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 />FIDELITY BOND /CRIME: <br />CARRIER: Great American Insurance Company <br />POLICY NO,: FS 234 -63 -54 <br />E FF /EXP: 06130/2015 - 06/30/2016 <br />LIMIT: $25,000,000 <br />DED: $250,000 <br />ACORD 101 (2008101 ) © 2008 ACORD CORPORATION. All rights reserved <br />fhe ACORD name and logo are registered marks of ACORD <br />