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AGENCY CUSTOMER ID: KWSEL LC-01 <br />LOC #: 1 <br />ADDITIONAL REMARKS SCHEDULE <br />AGENCY NAMED INSURED <br />Riordan & Scully Insurance KW Services, LLC <br />3801 Voorde Dr. Suite B <br />POLICY NUMBER m ^_ South Bend, IN 46628-1643 <br />SEE PAGE 1 <br />CARRIER NA€C CODE <br />EE WAGE 1 SEEP 1 EFFECTIVE DATE: SEE PAGE 1 <br />J THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, <br />I( FORM NUMBER: ACORD 25 FORM TITLE: Certificate of Liabiilit Insurance <br />Named Insured Schedule <br />Named Insured includes the following subsidiaries of KW Services, LLC: <br />KW Maintenance Services, LLC <br />dba Koontz -Wagner Maintenance Services <br />dba Koontz -Wagner Electric (OH) <br />KW Construction Services, LLC <br />dba Koontz -Wagner Construction Services <br />KMP <br />Page 1 of 1 <br />ai..vr W iU € tiUUaiU'I) © 2008 ACORD CORPORATION. Ali rights reserved. <br />The ACORD name and logo are registered marks of ACORD <br />