BUREAU VERITAS TECHNICAL ASSESSMENTS LLC

Workers Compensation/Employers Liability AGENCY CUSTOMER ID: ADDITIONAL REMARKS SCHEDULE LOC #: ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER:ACORD 25 FORM TITLE:Certificate of Liability Insurance EFFECTIVE DATE: CARRIER NAIC CODE POLICY NUMBER NAMED INSUREDAGENCY See Certificate Number: See Certificate Number: Aon Risk Services Northeast, Inc. 570000048582 570118634764 570118634764 Page _ of _ Bureau Veritas Technical Assessments LLC 10WNS41200 01/01/26-01/01/27 Trumbull Insurance AR,DC,IN,LA,NE,RI,UT 10WNS41200 01/01/26-01/01/27 Twin City Fire Insurance Company FL,ND,OH,WA,WY 10WNS41200 01/01/26-01/01/27 Hartford Insurance Company of the Midwest AK,ID 10WNS41200 01/01/26-01/01/27 Hartford Casualty Insurance Company MO,WV 10WNS41200 01/01/26-01/01/27 Nutmeg Insurance Company CT,IL 10WNS41200 01/01/26-01/01/27 Hartford Fire Insurance Company NH,OR,PA 10WNS41200 01/01/26-01/01/27 Hartford Accident and Indemnity Company AL,GA,KY,MI,MT,NY,TN,VT 10WNS41200 01/01/26-01/01/27 Property & Casualty Ins Co of Hartford CA,CO,DE,ME, MN,MS,SC 10WNS41200 01/01/26-01/01/27 Hartford Insurance Company of Illinois TX 10WNS41200 01/01/26-01/01/27 Hartford Insurance Company of the Southeast KS,MD 10WNS41200 01/01/26-01/01/27 Hartford Underwriters Insurance Company AZ,HI, NC,NJ,SD,VA 10WNS41200 01/01/26-01/01/27 Sentinel Insurance Company, Limited IA,NM,NV,OK 10WBRS41201 01/01/26-01/01/27 Twin City Fire Insurance Company WI 10WBRS41201 01/01/26-01/01/27 Sentinel Insurance Company, Limited MA ACORD 101 (2008/01)© 2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD Docusign Envelope ID: 7CF951A9-F5A4-4F8B-B02B-90C4522C309B