Laserfiche WebLink
AGENCY CUSTOMER ID: <br />LOC #: <br />® ADDITIONAL REMARKS SCHEDULE <br />AGENCY <br />Willis Towers Watson Northeast, Inc. <br />POLICY NUMBER <br />See Page 1 <br />CARRIER <br />See Page 1 <br />ADDITIONAL REMARKS <br />NAMED INSURED <br />CivicPlus, LLC <br />302 S 4th Street, Suite 500 <br />Manhattan, KS 66502 <br />NAIC CODE <br />See Page 11 EFFECTIVE DATE: See Page 1 <br />THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, <br />FORM NUMBER: 25 FORM TITLE: Certificate of Liability Insurance <br />purchased by the City. <br />Page 2 of 2 <br />Ri& Mamgmati Dh-:gi. <br />IL 7QW 761z� P&Waa <br />REVIEwm & APPROVED B'r' <br />ACORD 101 (2008/01) © 2008 ACORD CC <br />The ACORD name and logo are registered marks of ACORD <br />SR ID: 21197135 BATCH: 2125567 CERT: W21237828 <br />