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AGENCY CUSTOMER ID: 10515775 <br />LOC #: <br />ADDITIONAL REMARKS SCHEDULE <br />Page .. of , <br />AGENCY <br />Aon Risk 5erVi CeS, Inc <br />of Florida <br />NAMED INSURED <br />G4S Secure Solutions (USA) Inc. <br />POLICY NUMBER <br />See Certificate Number: <br />570055188732 <br />CARRIER <br />See Certificate Number: <br />570655188732 <br />NAIC CODE <br />EFFECTIVE DATE: <br />ADDITIONAL REMARKS <br />THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, <br />FORM NUMBER: ACORD 25 FORM TITLE: Certificate of Liability Insurance <br />INSURER(S) AFFORDING COVERAGE <br />NAIC # <br />INSURER <br />INSURER <br />INSURER <br />INSURER <br />ADDITIOtNAL POLICIES If a policy belotY does not include limitInformation, refer to the corresponding policy on the ACORD <br />certificate form for policy limits, <br />INBIL <br />LTR <br />'11PE OF INSURANCE <br />UNSDPOLI <br />GVBD <br />SURNW" <br />WW <br />POLICY NLrvIDER <br />POLICY <br />EFFECTIVE <br />DATE <br />NIMIDD"Y <br />POLICY <br />EXPIRATION <br />PATE <br />CoMinliNTYn <br />4IriLlTS <br />WORKERS COMPENSATION <br />C <br />N/A <br />wc028234488 <br />FL <br />16/61/2014 <br />10/01/2015 <br />e <br />N/A <br />WCO28234493 <br />MN <br />10/01/2014 <br />10/01/2015 <br />B <br />N/A <br />WCO28234491 <br />MA, At <br />10/01/2014 <br />10/01/2015 <br />B <br />N/A <br />WCO28234490 <br />IL,KY,NC,NH,UT,VT <br />1070-1720-14 <br />10/01/2015 <br />B <br />N/A <br />WCO28234489 <br />AZ,GA,VA <br />10/01/2014 <br />10/01/2015 <br />B <br />N/A <br />WCO28234492 <br />ME <br />10/01/2014 <br />10/01/2015 <br />6 <br />NIA <br />WCO28234494 <br />Ng, PA <br />10/O /2014 <br />10/01/2015 <br />ACORD 101 1200 87011 <br />The ACORD name and logo are registered marks of ACORD <br />G4S SECURE SOLUTIONS ( SA : AGREEMENT # A-2014-215 <br />REVIEWED BY: EUNICE HEREDIA <br />© 2008 ACORD CORPORATION, All rights raaerved, <br />(PG, 2 of 2) <br />