Laserfiche WebLink
AGENCY CUSTOMER ID: CN102452723 <br />LOC #: Irvine <br />ADDITIONAL REMARKS SCHEDULE Page 2 of 2 <br />AGENCY <br />NAMED INSURED <br />Marsh Risk & Insurance Services[ <br />Overland, Pacific & Cutler, Inc. <br />3750 Schaufele Avenue] <br />Suite 1 50t <br />POLICY NUMBER <br />Long Beach, CA 90808 <br />CARRIER <br />NAIC CODE <br />EFFECTIVE DATE: <br />MCIVIMMMO <br />THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, <br />FORM NUMBER: 25 FORM TITLE: Certificate of Liability Insurance <br />I <br />Workers Compensation Carriers (by State): I <br />1) CA - Hartford Fire Insurance <br />2) NV - Twin City Fire Insurance Company <br />3) TX - Hartford Underwriters I <br />A(;L)KU 101 (ZUUt5JU1) (0 2008 ACORD CORPORATION. All rights reserved. <br />The ACORD name and logo are registered marks of ACORD t <br />12 s: <br />V4 If I t" Dft t <br />