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AGENCY CUSTOMER ID: 10515775 <br />• <br />I <br />ADDITIONAL ARSCHEDULE Page — of <br />AGENCY <br />Aon RiSI( Services, Inc of Florida <br />NAMEDINSURED <br />G4S Secure Solutions (USA) Inc. <br />POLICY NUMBER <br />See Certificate Number: 570063707144 <br />CARRIER <br />See Certificate Number: 570063707144 <br />NAIL 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 />TYPE OF INSURANC:1' <br />INSURER <br />SUBR <br />WVD <br />INSURER <br />POLICY <br />EFFECTIVE <br />DATE <br />(NIM/DD/YYYY) <br />INSURER <br />LIMITS <br />ADllITIONAL POLICIES If a policy below does not include limit information, refer to the corresponding policy on the ACORD <br />certificate forin for policy limits. <br />F� <br />INSR <br />LTR <br />TYPE OF INSURANC:1' <br />ADDL <br />INSD <br />SUBR <br />WVD <br />POLICY NUMBER <br />POLICY <br />EFFECTIVE <br />DATE <br />(NIM/DD/YYYY) <br />POLICY <br />EXPIRATION <br />DATE <br />(MM/DD/YYYY) <br />LIMITS <br />WORKERS COMPENSATION <br />C <br />N/A <br />wc014112109 <br />FL <br />10/01/2016 <br />10/01/2017 <br />D <br />N/A <br />wc014112110 <br />MA, wi - incl. stop Gap <br />10/01/2016 <br />10/01/2017 <br />D <br />N/A <br />wc014112115 <br />AI(,AZ,IL,KY,NC,NH,UT,VA <br />10/01/2016 <br />10/01/2017 <br />D <br />N/A <br />wco14112111 <br />ME <br />10/01/2016 <br />10/01/2017 <br />D <br />N/A <br />wc014112112 <br />NJ, PA <br />10/01/2016 <br />10/01/2017 <br />ACORD 101 (2008/01) <br />© 2008 ACORD CORPORATION. All rights reserved. <br />The ACORD name and logo are registered marks of ACORD <br />( _ IT <br />REVIEWED BY: EUNICE HL RE DIA (PGS0I <br />