Orange County NC Website
Browse       Search
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 />INSURICA TX Insurance Services, Inc. <br />RIMKCON01C <br />SEE PAGE 1 <br />1 <br />SEE PAGE 1 <br />ACORD 25 Certificate of Liability Insurance <br />1 <br />SEE P 1 <br />Rimkus Consulting Group, Inc. <br />12140 Wickchester Lane - Suite 300 <br />Houston, TX 77079 <br />SEE PAGE 1 <br />LFOTEH <br />1 <br />Page 2 of 2 <br />COMMERCIAL GENERAL LIABILITY COVERAGE FORM: Blanket Additional Insured, Blanket Waiver of Subrogation, Blanket Primary <br />& Non-Contributory When Required by Written Contract, Written Agreement or Permit purusant to form HG 0001 0916. <br />COMMERCIAL AUTOMOBILE BROAD FORM ENDORSEMENT: Blanket Additional Insured, Blanket Waiver of Subrogation, Blanket <br />Primary & Non-Contributory When Required by Written Contract or Agreement pursuant to form HA9916 0312 <br />WORKERS COMPENSATION: Blanket Waiver of Subrogation When Required by Written Contract pursuant to form WC420304B. <br />UMBRELLA is Follow-form to Underlying Policies <br />Named Insured Schedule: <br />Rimkus Consulting Group, Inc. <br />Rimkus Acquisition, LLC <br />RCG Acquisition Pennsylvania, LLC <br />RCG Acquisition Illinois, LLC <br />RCG Acquisition Carolina, LLC <br />Rimkus Analytics, LLC <br />Rimkus ISCT, LLC <br />Rimkus Building Consultants, LLC <br />Rimkus Consulting, Limited <br />ISCT, LLC <br />Rimkus Consulting Group of Louisiana, Inc. <br />Rimkus Consulting Group of AG <br />Rimkus Consulting Group Ltd. <br />Rimkus Group, Ltd. <br />Cadence Dominion Management, LLC <br />Cadence Domino, LP <br />Rimkus Holdings, LLC <br />Rhoades & Frantz Applied Safety & Ergonomics, Inc. <br />RGC Acquisition Michigan, LLC <br />Applied Safety and Ergonomics, Inc. <br />RCG Acquisition Rhode Island, LLC <br />Blackstone Consulting, LLC <br />RCG Acquisition Cowboys, LLC <br />Loss Management Solutions, Inc. <br />Core Human Factors, Inc. (USA) <br />RCG Acquisition AEC, LLC <br />Commercial Construction Consulting, Inc. <br />Additional Insured: <br />RCG Acquisition CCi, LLC <br />CCi <br />Capital Consulting International, Inc. <br />DocuSign Envelope ID: 41E83984-DDBC-42BD-B80A-171D06FA09AD