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AGENCY CUSTOMER ID: 040356 <br />LOC #: Washin <br />Ac ®R"® ADDITIONAL REMARKS SCHEDULE <br />Page 2 of 2 <br />AGENCY <br />NAMEDINSURED <br />MARSH USA INC. <br />ICMA RETIREMENT CORP. <br />ATTN. PJUANA THOMAS <br />777 NORTH CAPITOL ST., NE <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 />EFF /EXP, 06/3012015- 06/3012016 <br />LIMIT: $25,000,000 <br />DEC $250,000 <br />^""• "' • °•�� ° ° °• °'/ v NUU AIUKU UUKYUKA I IVN. All rights reserved. <br />The ACORD name and logo are registered marks of ACORD <br />