Orange County NC Website
FORM NUMBER: <br />EFFECTIVE DATE: <br />The ACORD name and logo are registered marks of ACORD <br />ADDITIONAL REMARKS <br />ADDITIONAL REMARKS SCHEDULE <br />FORM TITLE: <br />Page of <br />THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, <br />ACORD 101 (2008/01) <br />AGENCY CUSTOMER ID: <br />LOC #: <br />AGENCY NAMED INSURED <br />POLICY NUMBER <br />CARRIER NAIC CODE <br />© 2008 ACORD CORPORATION. All rights reserved. <br />Krauter & Company <br />NWNCORP-01 <br />SEE PAGE 1 <br />1 <br />SEE PAGE 1 <br />ACORD 25 Certificate of Liability Insurance <br />1 <br />SEE P 1 <br />NWN Corporation271 Waverly Oaks RoadWaltham, MA 02452 <br />SEE PAGE 1 <br />MALSA1 <br />1 <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 />DocuSign Envelope ID: FF254AC2-A2B9-499C-9291-7BB8C3594EB7