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AGENCY CUSTOMER ID: 10243827 <br />LOC #: <br />ADDITIONAL REMARKS SCHEDULE <br />Page _ of _ <br />AGENCY <br />ADD Risk Services Northeast, Inc. <br />NAMED INSURED <br />IPMorgan Chase & Co. <br />POLICY NUMBER <br />See Certificate Number: 570062235566 <br />CARRIER <br />See Certificate Number: 570062235566 <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 I NAIC # <br />INSURER <br />NSURER <br />ADDITIONAL POLICIES If a policy below does not include limit information, refer to the corresponding policy on the ACORD <br />certificate form for policy limits. <br />WSR <br />LTR <br />TYPE OF INSURANCE <br />ADDL <br />INSD <br />SUBR <br />WVD <br />POLICY NUMBER <br />POLICY <br />EEFECTWE <br />DATE <br />M.WDD /YYYY <br />POLICY <br />EXPIRATION <br />DATE <br />MMIDD /YYYY <br />LBYIIT9 <br />WORKERS COMPENSATION <br />A <br />N/A <br />wc020681809 <br />CA <br />06/01/2016 <br />06/01/2017 <br />g <br />N/A <br />WC20681810 <br />AZ IL NJ NY TX <br />06/01/2016 <br />06/01/2017 <br />C <br />N/A <br />wc02O681811 <br />FL <br />06/01/2016 <br />06/01/2017 <br />g <br />N/A <br />WCO20681812 <br />MA No ON WA WI WY <br />06/0172016 <br />06/01/2017 <br />g <br />N/A <br />WCO20681813 <br />MN <br />06/01/2016 <br />06/01/2017 <br />ACORD 101 (2008101) © 5008 ACORD CORPORATION. All rights reserved. <br />The ACORD name and logo are registered marks of ACORD <br />