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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 />HUB International Insurance Services Inc. <br />SUBMHOL-01 <br />SEE PAGE 1 <br />1 <br />SEE PAGE 1 <br />ACORD 25 Certificate of Liability Insurance <br />License # 0757776 <br />1 <br />SEE P 1 <br />Submittable Holdings Inc. DBA Submittable111 N. Higgins Ave., Suite 200Missoula, MT 59802-4401 <br />SEE PAGE 1 <br />ELAM <br />1 <br />Description of Operations/Locations/Vehicles: <br />Policy Carrier: Scottsdale Indemnity Company <br />Policy Number: EKI3367837 <br />Policy Limits: $2,000,000 <br />Policy Dates: 2/19/2021 – 2/19/2022 <br />Employment Practices Liability <br />Policy Carrier: Scottsdale Indemnity Company <br />Policy Number: EKI3367837 <br />Policy Limits: $2,000,000 <br />Policy Dates: 2/19/2021 – 2/19/2022 <br />ERISA Bond <br />Policy Carrier: Hartford Fire Insurance Company <br />Policy Number: 57BDDHK4909 <br />Policy Limits: $385,000 <br />Policy Dates: 2/19/2020 – 2/19/2023 <br />DocuSign Envelope ID: 9D47C501-1992-47C9-8628-C341F5B37F30