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A <br />AGENCY CUSTOMER ID: CN102452723 <br />LOC #: Irvine <br />ADDITIONAL REMARKS SCHEDULE <br />Page 2 of 2 <br />AGENCY <br />NAMED INSURED <br />Marsh Risk & Insurance Selvices0 <br />Overland, Pacific & Cutler, Inc,O <br />3750 Schaufele Avenue0 <br />Suite 1500 <br />POLICY NUMBER <br />Long Beach, CA 90808 <br />CARRIER <br />NAIC CODE <br />EFFECTIVE DATE: <br />01 <br />01 <br />Workers Compensation Carriers (by Stale): 0 <br />1) CA- Hartford Fire Insurance 0 <br />2) NV - Twin City Fire Insurance Company 0 <br />3) TX - Hartford Underwriters 0O <br />(9 ZUOU AGORD CORPORATION. All rights reserved. <br />The ACORD name and logo are registered marks of ACORD <br />REVIEWED BY: EUNICE HEREDlA {PG 4F <br />