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AGENCY CUSTOMER ID: <br />LOC #: <br />ACO " ADDITIONAL REMARKS SCHEDULE <br />Page 2 of 2 <br />AGENCY <br />NAMED INSURED <br />Willis Towers Watson Southeast, Inc. <br />Chicago Title Company <br />Attn: Fidelity National Financial Inc. Risk Mgmt <br />601 Riverside Ave, Bldg 5 <br />POLICY NUMBER <br />See Page 1 <br />Jacksonville, FL 32204 <br />CARRIER <br />CODE <br />See Page 1 7N.AIC <br />e page 1 <br />EFFECTIVE DATE: See Page 1 <br />THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, <br />FORM NUMBER: 25 FORM TITLE: Certificate of Liability Insurance <br />The General Liability policy includes a Cross Liability clause, <br />City of Santa Ana, Risk Management Division, 20 Civic Center Plaza, 4th floor, Santa Ana CA 92701; it's officers, <br />employees, agents, and representative are included as Additional Insureds as respects to General Liability, Auto <br />Liability and Umbrella Liability. <br />General Liability and Auto Liability policies shall be Primary and Non-contributory with any other insurance in force <br />for or which may be purchased by Additional Insureds. <br />Umbrella Follows Form, <br />INSURER AFFORDING COVERAGE: Allianz Global Risks US Insurance Company <br />POLICY NUMBER: USP00064124 EFF DATE: 11/15/2024 EXP DATE: 11/15/2025 <br />TYPE OF INSURANCE: LIMIT DESCRIPTION: LIMIT AMOUNT: <br />Bldgs/BPP/Bi Limit $200,000,000 <br />Special with Quake/Flood Replacement Cost <br />Property Quota Share <br />ADDITIONAL REMARKS: <br />All Effective 11/15/24-11/15/25 <br />Carrier: Allianz, pol Num: USP00064124, Limit: $40Mpo$200M <br />Carrier: Ace American, Pot Num: CXD37839000014, Limit: $40Mpo$200M <br />Carrier: Hartford Fire, Pol Num: 20UFLEE9366, Limit: $40Mpo$200M <br />Carrier: Everest Indemnity, Pol Num: RP3P000005-241, Limit: $25Mpo$200M <br />Carrier: Columbia Casualty, Pot Num: RMP7035047282, Lmt: $20mpo$200M <br />Carrier: IRONSHORE, Pol Num: 1000682831-01, Limit: $25Mpc$200M <br />Carrier: CLIENT EDGE, Pol Num: CUS74000036--00,Limit:$10Mpo$200M <br />NAIC#: 35300 <br />K%..ncU 1U I kcUUoru i) CO 2008 ACORD CORPORATION. All rights reserved. <br />The ACORD name and logo are registered marks of ACORD <br />SR ID:26782769 SATCH:3708681 CERT: W36258161 <br />