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, AGENCY CUSTOMER ID: CN101348564 <br /> ��� �oC#: Los Angeles <br /> A�RD' ADDITIONAL REMARKS SCHEDULE Page 2 of 2 <br /> AGENCY NAMEDINSURED <br /> Marsh Risk 8 insurance Services9 AECOM� <br /> 345 East Ash Avenu�I <br /> POLICY NUMBER D2C2iUt,IL 62526 <br /> CARRIER NAIC CODE <br /> EFFECTNE DATE: <br /> ADDITIONAL REMARKS <br /> TNIS ADDITIONAL REMARKS FQRM tS A SCHEDULE TO ACORD FORM, <br /> FORM NUMBER: 25 FORM TITLE: Certificate of Liability Insurance <br /> r � <br /> Workers CompensationiEmployer Liability cont� <br /> � <br /> Policy Number Insurer States Covered u <br /> WlR C6589323A indemniry Insurance Company of North America-NAIC#43575 AOS� <br /> WLR C65893150 ACE American Insurance Company-NAIC#22667 CA and Mf�� <br /> SCF C65893198 ACE American losurance Company-NAIC#22667 WI Retrol <br /> WCU C65693393 ACE American Insurance Comp�y-NAIC#22667 OH,Ohio Qualified Self Inswed(�SI)-SIR:$500,000;Ony applicable to specific <br /> qualified! <br /> entities self-insured in the state of Ohio� <br /> ACORD 101(2008/04) 02008 ACORO CORPORATION. Ali rights reserved. <br /> The ACORD name and logo are registered marks of ACORD <br />