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ACC)RR6 <br />AGENCY CUSTOMER ID: CNIO3820276 <br />LOC #: San Antonio <br />AL o 1 �, ; m] - I M <br />(Page 2 of 2 <br />AGENCY <br />Marsh USA, Inc, <br />NAMED INSURED <br />Dynsmox Operations West, LLC <br />2061 Faymei Avenue, Unit A <br />FuAanon, CA 92833 <br />POLICY NUMBER <br />CARRIER <br />NAIC CODE <br />EFFECTIVE DATE: <br />THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, <br />FORM NUMBER: 26 FORM TITLE: Certificate of Liability Insurance <br />The above Workers Co upensation policy WA297DV0841015 with Liberty Mama) Fire insurance Company was placed by Marsh USA, hoc. Seabury & Smth, Inc. has only B:1ed in the role of a concialant to link <br />placement, which is indicated here for your convenience. <br />The above Umbrella policy X'200016227226 with AAianz was placed by Marsh Canada Limited. Sesbury & Smuh, Inc, has only acted in the role of a consultant to this placemenl, which Is indicated here for your <br />convenience. <br />The abode Cargo policy 499 -639 with ACE INA Insurance was placed by Marsh Canada Limited, Seabury & Smllh, Inc. has only acted In the role of ai consultant to thus placement, which In lundioasd here for your <br />convenience, <br />IF <br />© 2008 ACORD CORPORATION. All riahts reserved. <br />The ACORO name and logo are registered marks of ACORD <br />