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Workers' Compensation <br />and Employers Liability <br />Insurance Policy <br />Information Page <br />ISSUING COMPANY <br />ACE AMERICAN INSURANCE COMPANY <br />NCCI CARRIER CODE <br />12165 <br />POLICY NUMBER <br />Symbol: WLR Number: C6 60 38 62 2 <br />New El Renewal ri Rewrite <br />Partnership pi Association <br />Joint Venture ri Other Legal Entity <br />PREVIOUS POLICY NO. <br />Symbol: WLR Number: C65224987 <br />Individual <br />ri Corporation <br /> <br />CHUBB° <br />Item 1. <br />Named <br />Insured <br />Mailing <br />Address <br />AEGION CORPORATION <br />17988 EDISON AVE <br />CHESTERFIELD MO 63005 <br />Inter/Intrastate ID No.: 917261423 <br />Federal Employer ID No.: 453117900 <br />Employer's ID No.: <br />PIIC CODE: 1389 <br />For other named insured see Extension of Information Page — Schedule of Named Insured, WC 99 99 99 A <br />For other workplaces see Extension of Information Page — Schedule of Other Workplaces, WC 99 99 99 B <br />Item 2. Policy period: From 07-01-2019 To 07-01-2020 12:01 A.M., standard time at the named insured's mailing address. <br />Item 3A. Workers Compensation Insurance: Part One of the policy applies to the Workers' Compensation Law of the states listed here: <br />AZ,CA,MA <br />Item 3B. Employers Liability Insurance: Part Two of the policy applies to work in each state listed in Item 3A. <br />The limits of our liability under Part Two are: Bodily Injury by Accident $ 1,000,000 each accident <br />policy limit <br />each employee <br />Bodily Injury by Disease $ 1,000,000 <br />Bodily Injury by Disease $ 1,000,000 <br />Item 3C. Other States Insurance: Part Three of the policy applies to the states, if any, listed here: <br />ALL STATES EXCEPT <br />ND,OH,WA,VVY, <br />AND STATES DESIGNATED IN ITEM 3.A <br />Item 3D. This Policy includes these endorsements and schedules: <br />See schedule of Forms and Endorsements WC999999D <br />Item 4. The premium for this policy will be determined by our Manual of Rules, Classifications, Rates and Rating Plans. All information <br />required below is subject to verification and change by audit. <br />SEE EXTENSION OF INFORMATION PAGE —CLASSIFICATIONS <br />If indicated here, interim asiustments of premium will be made: <br />El Semi-Annually H Quarterly 111 Monthly <br />PRODUCER NAME AND MAILING ADDRESS <br />LOCKTON COMPANIES LLC <br />3 CITY PLACE DRIVE <br />SUITE 900 <br />SAINT LOUIS MO 63141 <br />PRODUCER CODE: 271194 20-3354970 CGU <br />MARKETING OFFICE: CHICAGO BRANCH <br />ISSUE DATE: 06/26/2019 <br />Minimum Premium collected in AZ $ <br />Total Estimated Premium <br />Deposit Premium <br />Authorized Representative <br />WC 00 00 01A (05/88) Copyright 1987 National Council on Compensation Insurance <br />INSURED COPY