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ACORD 101 (2008/01) <br />The ACORD name and logo are registered marks of ACORD <br />© 2008 ACORD CORPORATION. All rights reserved. <br />THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, <br />FORM NUMBER:FORM TITLE: <br />ADDITIONAL REMARKS <br />ADDITIONAL REMARKS SCHEDULE Page of <br />AGENCY CUSTOMER ID: <br />LOC #: <br />AGENCY <br />CARRIER NAIC CODE <br />POLICY NUMBER <br />NAMED INSURED <br />EFFECTIVE DATE: <br />MARSH USA, LLC. <br />�� <br />Policy Number: 7039918885 (OH, ND, WY, WA)�� <br />Carrier: Transportation Insurance Company�� <br />�� <br />�� <br />�� <br />Workers' Compensation (Continued): �� <br />INSURERS AFFORDING COVERAGE/NAIC #�� <br />�� <br />�� <br />�� <br />�� <br />�� <br />�� <br />Policy Number: 7092684051 (CA)�� <br />�� <br />Dates: 08/01/2025 - 08/01/2026�� <br />�� <br />�� <br />�� <br />�� <br />�� <br />�� <br />2 <br />Atlanta <br />Certificate of Liability Insurance <br />�� <br />�� <br />�� <br />�� <br />WC 7 39895530 - AL,CO,FL,GA,ID,IL,IN,KS,KY,MA,ME,MD,MI,MN,MO,MT,NV,NY,NC,OK,PA,SC,TN,TX,UT,VA �� <br />�� <br />Dates: 08/01/2025 - 08/01/2026�� <br />�� <br />�� <br />�� <br />�� <br />�� <br />�� <br />WC 7 39895544 - CA�� <br />�� <br />�� <br />�� <br />�� <br />25 <br />�� <br />INSURER G: National Fire Insurance Co Of Hartford (20478)�� <br />�� <br />�� <br />�� <br />Carrier: Continental Insurance Company �� <br />Attention: Maria Townson ��PlayCraft Systems, LLC�� <br />�� <br />123 N Valley Dr.�� <br />�� <br />WC 7 39918871 - AZ, OR, WI�� <br />�� <br />2 <br />CN102326389 <br />Grants Pass,OR 97526�� <br />�� <br />�� <br />�� <br />Docusign Envelope ID: 591E6FD8-9A8A-4F61-A9B6-379F741A7638