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AGENCY CUSTOMER ID: <br /> LOC#: <br /> A`OR& ADDITIONAL REMARKS SCHEDULE Page 2 Of 2 <br /> AGENCY NAMED INSURED <br /> Willis Towers Watson Midwest, Inc. Pace Analytical Services, LLC <br /> 2665 Long Lake Road, Suite 300 <br /> POLICY NUMBER Roseville, MN 55113 <br /> See Page 1 <br /> CARRIER NAIC CODE <br /> See Page 1 Sea Page 1 EFFECTIVE DATE:See Page 1 <br /> ADDITIONAL REMARKS <br /> THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, <br /> FORM NUMBER: 25 FORM TITLE: Certificate of Liability Insurance <br /> Re: South Water Treatment Plant, 1155 S Martin Luther King Jr Dr, Decatur, IL 62521 City of Decatur is included as <br /> additional insured with respect to general liability, as required by written contract. Excess liability follows <br /> form. <br /> ACORD 101(2008/01) O 2008 ACORD CORPORATION. All rights reserved. <br /> The ACORD name and logo are registered marks of ACORD <br /> SR ID: 26236310 BATCH:3560358 CERT: W34371119 <br />