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DocuSign Envelope ID:61B0186F-FC84-4AEA-A28C-BF187CFEC9D1 <br /> AGENCY CUSTOMER ID: NWNCORP-01 MALSAI <br /> LOC#: 1 <br /> ACaRO ADDITIONAL REMARKS SCHEDULE Page 1 of 1 <br /> AGENCY NAMED INSURED <br /> an NWN Corporation <br /> Krauter&Company y 271 Waverly Oaks Road <br /> POLICY NUMBER Waltham,MA 02452 <br /> EE PAGE 1 <br /> CARRIER NAIC CODE <br /> SEE PAGE 1 SEE P 1 EFFECTIVE DATE:SEE PAGE 1 <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 /> NAME INSUREDS SCHEDULE: <br /> NWN CORPORATION <br /> NS NWN ACQUISITION LLC <br /> NWN PARENT HOLDINGS LLC <br /> NWN HOLDINGS LLC <br /> NWNCOMM LLC <br /> NWN ACQUISITION HOLDING COMPANY LLC <br /> NWN ROLLOVER HOLDINGS LLC <br /> WESTERN BLUE CORPORATION <br /> COMFRAME SOFTWARE CORPORATION <br /> SYSTEMS ENGINEERING, INC. <br /> WORKERS COMPENSATION (CA ONLY) <br /> POLICY NUMBER 6045855579 <br /> CARRIER: C.N.A <br /> E.L. EACH ACCIDENT $1,000,000 <br /> E.L. DISEASE-EA EMPLOYEE $1,000,000 <br /> E.L. DISEASE-POLICY LIMIT $1,000,000 <br /> (Per Statue) <br /> ACORD 101 (2008/01) ©2008 ACORD CORPORATION. All rights reserved. <br /> The ACORD name and logo are registered marks of ACORD <br />