Laserfiche WebLink
AGENCY CUSTOMER ID: <br />LOC p: <br />A ADDITIONAL REMARKS SCHEDULE <br />Page <br />AGENCY <br />NAMED INSURED <br />Marsh Risk and Insurance Services <br />Kapsch TrafficCom Holding II US Corp. <br />8201 Greensboro Drive <br />Suite 1002 <br />POLICY NUMBER <br />McLean VA 22102 <br />G25604635004 <br />CARRIER <br />NAIC CODE <br />ACE American Insurance Company <br />22667 <br />EFFECTIVE DATE: 7/112019 <br />THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, <br />FORM NUMBER: 25 FORM TITLE: Certificate of Liability (03116) _ <br />HOLDER: City of Santa Ana Risk Management Division <br />ADDRESS: 20 Civic Center Plaza Santa Ana CA 92702 <br />Policies evidenced herein include the following as Named Insureds: <br />Kapsch TrafficCom Holding Corp. <br />Kapsch TrafficCom Inc. <br />Kapsch TrafficCom USA, Inc. <br />Streetline, Inc. <br />ACORD 101 f20081011 <br />REVIEWED & APPROVED <br />By RISK MANAGEMENT DIVISION <br />%IOVI'LLAREAL <br />FRAN <br />All rinhfe e..—d <br />The ACORD name and logo are registered marks of ACORD <br />51]11199 II is is GL GV IMb NC $JM Pror....... I IFa[[ Hvxh 1 9/21/"" 1:5 1111 PM )N1'1 1 Page 1 .1 3 <br />ATTACHMENT <br />