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AGENCY CUSTOMER ID: CN109612360 <br />LOC #: Seattle <br />ACCPRD <br />ADDITIONAL REMARKS SCHEDULE <br />Page 2 of 2 <br />AGENCY <br />Marsh USA, Inc <br />NAMED INSURED <br />Cascade Drilling, L.P. <br />BU #107 <br />22722 29th Drive SE, Ste. 228 <br />Bothell, WA 98021 <br />POLICY NUMBER <br />CARRIER NAIC CODE <br />EFFECTIVE DATE: <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 />Excess Layer Liability: <br />Insurer: Allied World Assurance Company <br />Policy No.: 03125674 <br />Effective Period: 11/01/2020 - 11/01/2021 <br />Limit Each Occurrence: $10,000,000 as $5,000,000 <br />Limit Aggregate: $10,000,000 vs $5,000,000 <br />ACORD 101 (2008/01) <br /> <br />© 2008 ACORD CORPORATION. All rights reserved. <br />The ACORD name and logo are registered marks of ACORD