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AGENCY CUSTOMER ID: CN108113475 <br />LOC III: New York <br />A RO® ADDITIONAL REMARKS SCHEDULE <br />Page 2 of 2 <br />AGENCY <br />Marsh USA, Inc. <br />NAMED INSURED <br />OwDdve Inc. <br />One OverDrive Way <br />Cleveland, OH 44125 <br />POLICY NUMBER <br />CARRIER <br />NAIC CODE <br />EFFECTIVE DATE: <br />THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, <br />FORM NUMBER: 25 FORM TITLE: <br />WORKERS' <br />Poky Number. WMI0203(CA,CO,DC,FL,GA,IL,IN,KY,MD,MI,MN,NC.NJ.NY,PA,SC,TN,TK,UT,VA,Wq <br />Cartier TNUS Insurance Canpany <br />Poky Term: OVS2019-0rsr30M20 <br />Empbyers Liabiily Each Accident $1.000.000 <br />Enpbyers Li"ty DauSe-PoiCy Unit $1.000.000 <br />Empbyers Uabft Disease -Earn Empbyee: $1.000,000 <br />REVIEWED & APPROVED <br />By Risk MANACIEMENT DIVISION <br />JUN 9 2020 <br />ANGIE ACEVEdO <br />ACORD 101 (2008101) <br />t'bIJI:L•[Hal9 rIHU :I SU:L•\ 1 [�7: �_\ I �7t:1 T>':TF73TdLT: A <br />The ACORD name and logo are registered marks of ACORD <br />