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AGENCY CUSTOMER ID: CN102452723 <br />AGENCY <br />Marsh Risk & Insurance Selviceso <br />POLICY NUMBER <br />CARRIER <br />AUUI I IUNAL <br />I—� <br />LOC #: Irvine <br />ADDITIONAL REMARKS SCHEDULE <br />NAMED INSURED <br />Overland, Pacific & Cutler, Inc,u <br />3750 Schaufele Avenueo <br />Suite 15N <br />Long Beach, CA 90808 <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 />m <br />m <br />Workers Compensation Carriers (by Stale): 0 <br />1) CA- Hartford Fire Insurance 0 <br />2) NV - Twin City Fire Insurance Company o <br />3) TX - Hartford Underwriters 0� <br />Page 2 of 2 <br />(9 ZUOU ACORD CORPORATION. All rights reserved. <br />The ACORD name and logo are registered marks of ACORD <br />REVIEWED BY: EUNICE HEREDlA {PG 4F <br />