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DocuSign Envelope ID:E8C538EF-9595-4E36-A4C9-2CA66C7BE34A <br /> AGENCY CUSTOMER ID: 570000022249 <br /> LOC#: <br /> Ai °%°® ADDITIONAL REMARKS SCHEDULE Page _ of <br /> AGENCY NAMED INSURED <br /> Aon Risk Services Northeast, Inc. Envision Pharmaceutical Holdings, LLC <br /> POLICY NUMBER <br /> See Certificate Number: 570068176206 <br /> CARRIER NAIC CODE <br /> See Certificate Number: 570068176206 EFFECTIVE DATE <br /> ADDITIONAL REMARKS <br /> THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, <br /> FORM NUMBER: ACORD 25 FORM TITLE: Certificate of Liability Insurance <br /> Cyber Liability <br /> Cyber Liability 1st Excess, 10 million x 10 million, Zurich American Insurance Co. Policy # SPR557437504 <br /> Cyber Liability 2nd Excess- 10 million x 20 million, Lloyds Syndicate 1218 Policy # FSCEO1700117 <br /> Lloyds syndicate 3000 <br /> Lloyds Syndicate 4000 <br /> Lloyds Syndicate 2007 <br /> Lloyds Syndicate 1458 <br /> Lloyds Syndicate 2015 <br /> Lloyds Syndicate 4444 <br /> Lloyds Syndicate 5678 <br /> Lloyds syndicate 1980 <br /> Cyber Liability and Excess- 20 million x30 million, Lloyds Syndicate 457, Policy # FSCEO1700126 <br /> Lloyds Syndicate 4472 <br /> Lloyds Syndicate 4711 <br /> cyber Liability- 4th Excess- 10 million x 50 million, Travelers casualty & surety co of America, Policy # <br /> 106703894 <br /> ACORD 101(2008/01) ©2008 ACORD CORPORATION.All rights reserved. <br /> The ACORD name and logo are registered marks of ACORD <br />