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AGENCY CUSTOMER ID: 123456 <br />LOC #: Morristown <br />ADDITIONAL REMARKS SCHEDULE <br />Page 3 of 3 <br />AGENCY <br />NAMED INSURED <br />MARSH USA, INC. <br />Onex York Holdings Corp, <br />and its Subsidiaries <br />1 Upper Pond Road <br />POLICY NUMBER <br />Building F, 4th Floor <br />Parsippany, NJ 07054 <br />CARRIER <br />NAIC CODE <br />EFFECTIVE DATE: <br />AUDI I IUINAL KCMAKKS <br />THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, <br />FORM NUMBER: 25 FORM TITLE: Certificate of Liability Insurance <br />RISK CONTROL 360, LLC <br />RISK MANAGEMENT SOLUTIONS, INC. <br />RISKCONTROL SERVICES, LLC <br />RMS ACQUISITION, INC. <br />ROCKPORT COMMUNITY NETWORK, INC, <br />SAMS & ASSOCIATES, INC. <br />SAMS INVESTIGATIONS UNLIMITED, INC, <br />THE FRANK GATES COMPANIES, INC, <br />THE FRANK GATES SERVICE COMPANY <br />THE FRANKGATES SERVICE COMPANY INTEGRATED MANAGED CARE HEALTH PLAN, INC. <br />THE RISK MANAGEMENT PLANNING GROUP, INC. <br />VANTAGE HEALTH PLAN, INC, <br />VISUAL RISK SOLUTIONS, INC. <br />VOCWORKS LTD. <br />WELLCOMP MANAGED CARE SERVICES, INC. <br />YORK INSURANCE ACQUISITION, LLC <br />YORK INSURANCE HOLDINGS, INC. <br />YORK INSURANCE PARENT CORP. <br />YORK INSURANCE SERVICES GROUP, INC. - CALIFORNIA <br />YORK PRO, INC. <br />YORK RISK CONTROL SERVICES, LLC <br />YORK RISK POOLING SERVICES, INC. <br />YORK RISK SERVICES GROUP INTERNATIONAL HOLDINGS, LTD, <br />YORK RISK SERVICES GROUP, INC. <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 S, DE R.L. DE C.V. <br />YORK SPECIAL INVESTIGATIONS, INC. <br />YORK WMCS CORP, <br />MCMC LLC <br />MCMC INDEPENDENT EXAMS, LLC <br />COMPEVAL DO EXAMS, LLC <br />LITIGATION SOLUTIONS, LLC (EXCEPT GENERAL LIABILITY) <br />MANAGED CARE NETWORK SERVICES, LLC <br />COMPPARTNERS INC. <br />QUICK CAT, LLC <br />ACORD 101 (2008101) © 2008 ACORD CORPORATION. All rights reserved <br />The ACORD name and logo are registered marks of ACORDG^2U1-zeal ham. <br />t2lGL 9 <br />6ar6 <br />