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AGENCY CUSTOMER ID : <br /> LOC # : <br /> ADDITIONAL REMARKS SCHEDULE Page of <br /> AGENCY NAMED INSURED <br /> Arthur J . Gallagher Risk Management Services , Inc . <br /> L - 3 Communications Security & Detection Systems , Inc . <br /> c / o L - 3 Communications Corp . <br /> POLICYNUMBER 600 Third Avenue <br /> CARRIER NAIC CODE New York , NY 10016 <br /> EFFECTIVE DATE : <br /> ADDITIONAL REMARKS <br /> THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM , <br /> FORM NUMBER : FORM TITLE : <br /> WC ( CA ) - NEW HAMPSHIRE INS CO - 019736867 ( CA ) - 02 / 01 / 2012 - 2013 <br /> ACORD 101 (2008/01 ) © 2008 ACORD CORPORATION . All rights reserved . <br /> The ACORD name and logo are registered marks of ACORD <br />