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37 <br />AGENCY CUSTOMER ID: CN1 1 91 72492 <br />_ LOC #: Denver <br />ACC?1? V ADDITIONAL REMARKS SCHEDULE Page 2 of 2 <br />AGENCY <br />MARSH USA INC. <br />NAMED INSURED <br />G1 Peak Holding Corporation <br />6400 S. Fiddlers Green Circle <br />Greenwood Village, CO 80111 <br />POLICY NUMBER - <br />CARRIER <br />NAIC CODE <br />EFFECTIVE DATE: <br />THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, <br />FORM NUMBER: 25 FORM TITLE: Certificate of Liability Insuranoe 46k <br />Crime: <br />Garner: Federal Insurance Company <br />Policy No.: 82408605 <br />Effective Date: 12101/17 <br />Expiration Date:12101f2018 <br />Limit: $3,000,000 <br />Deductible: $50,000 <br />Actual Loss Suslained Inducting Coverage for - Employee Theft, Premises, In Transit, ERIM, Forgery, Computer Fraud, Funds Tra Order and Counterfeit, Credit Card Fraud and Third Party <br />Coverage - $3,000,000 Limit, $50,000 Deductible <br />Directors and Officers: <br />Carrier. Federal Insurance Company <br />Poiicy No.: 82408605 <br />Effective Date: 1210112017 Alli <br />Expiration Date: 1210112018 <br />UrQ: $10,000,000 <br />Deductible: $100,000 <br />Pollutionlrank Liability: <br />Carrier: ACE American Insurance Company <br />Policy No.: G46832280001 <br />Effective Date: 1 1103 12017 <br />Expiration Date: 1V0112018 <br />Limit: $1,000,000 <br />Aggregate: $4,000,000 <br />Deductible: $5,000 <br />O� <br />ACORD 101 (2008101) © 2008 ACORD CORPORATION. All rights reserved. <br />The ACORD name and logo are registered marks of ACORD <br />