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AGENCY CUSTOMER ID: <br />LOC #: <br />A� ADDITIONAL REMARKS SCHEDULE <br />Page 3 of 3 <br />PRODUCER <br />York Alternative Risk Solutions, LLC <br />INSURED <br />Onex York Holdings Corp. <br />and its Subsidiaries <br />POLICY NUMBER <br />CARRIER <br />NAIC CODE <br />ISSUE GATE: 07/03/2017 <br />THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, <br />FORM NUMBER: FORM TITLE: <br />(continued from previous page) <br />THE FRANK GATES SERVICES COMPANY <br />INTEGRATED MANAGED HEALTH CARE PLAN, INC. <br />THE RISK MANAGEMENT PLANNING GROUP, INC <br />VANTAGE HEALTH PLAN, INC. <br />VISUAL RISK SOLUTIONS, INC <br />VOCWORKS LTD, LLC <br />WELLCOMP MANAGED CARE SERVICES, INC. <br />York Alternative Risk Solutions LLC fka FRANK GATES ALTERNATIVE RISK, LLC <br />YORK INSURANCE HOLDINGS, INC. <br />YORK INSURANCE SERVICES GROUP, INC. - CALIFORNIA <br />YORK INTERNATIONAL ARGENTINA S.A. <br />YORK RISK CONTROL SERVICES, LLC <br />YORK RISK POOLING SERVICES, INC <br />YORK RISK SERVICES GROUP, INC. <br />YORK RISK SERVICES GROUP INTERNATIONAL HOLDINGS, LTD <br />YORK RISK SERVICES GROUP, INC. - FLORIDA <br />YORK RISK SERVICES HOLDING CORP. <br />YORK RISK SERVICES ORGANIZATION, INC. <br />YORK RSG (INTL) COLOMBIA SAS <br />YORK RSG (INTL) LTD <br />YORK RSG (INTL) MEXICO <br />YORK SPECIAL INVESTIGATIONS, INC. <br />YORK WMCS CORP. <br />YORKPRO, INC <br />© 2000 <br />The ACORD name and logo are registered marks of ACORD CERTIFICATE NUMBER: VHZAX9Y9 <br />ba - <br />2v rdn /1 P -v <br />3 at-4� <br />