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DocuSign Envelope ID: FC8EB5EO-55D9-441D-8E58-AFC583AE005C <br /> AGENCY CUSTOMER ID: CN101638795 <br /> LOC/t: New Orleans <br /> ACO i ADDITIONAL REMARKS SCHEDULE Page 2 of 2 <br /> `� <br /> AGENCY NAMED INSURED <br /> Marsh USA,Inc.(504)522-8541 Lamar Advertising Company <br /> 8 all subsidiaries <br /> POLICY NUMBER PO BOX 66338 <br /> Baton Rouge,LA 70896 <br /> CARRIER NAIC CODE <br /> EFFECTIVE DATE: <br /> ADDITIONAL REMARKS <br /> THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, <br /> FORM NUMBER: 25 FORM TITLE: Certificate of Liability Insurance <br /> Workers Compensation Policies: <br /> Policy:WCO20608680(MA 8 WI) <br /> MA,WI,NO,OH,WA,WY <br /> New Hampshire Insurance Company <br /> Eff:01/0112020 Exp:01/01/2021 <br /> Policy:WCO20608677(CA) <br /> California(CA) <br /> American Home Assurance <br /> Eft:01/0112020 Exp:01/01/2021 <br /> Policy:WCO20608675(FL) <br /> Florida(FL) <br /> Illinois National Ins.Co. <br /> Eff:01/01/2020 Exp:01/01/2021 <br /> Policy:WCO20608679(Other) <br /> AZ,IL,KY,NC,NH,NJ,PA,UT,VA <br /> New Hampshire Ins.Co. <br /> Eff:01/0112020 Exp:01/01/2021 <br /> ACORD 101 (2008/01) ©2008 ACORD CORPORATION. All rights reserved. <br /> The ACORD name and logo are registered marks of ACORD <br />