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AGENCY CUSTOMER ID: <br />_ LOC #: <br />A'CO)R" ADDITIONAL REMARKS SCHEDULE page 2 Of 2 <br />AGENCY NAMED INSURED <br />Willis Towers Watson Southeast, Inc. Commonwealth Land Title Company and its Subsidiaries <br />Attn: Videlity National Financial Inc. Risk Mgmt <br />POLICY NUMBER 601 Riverside Ave, Bldg 5 <br />See Page 1 Jacksonville, FL 32204 <br />CARRIER NAIC CODE <br />See Page 1 See Page 1 1 EFFECTIVE DATE: See Page 1 <br />ADDITIONAL REMARKS <br />THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, <br />FORM NUMBER: 25 FORM TITLE: Certificate of Liability Insurance <br />City of Santa Ana, Attention: Public Works Agency , 20 Civic Center Plaza, M-36 , Santa Ana, CA 92701; its officers, <br />employees, agents, volunteers and representatives are named as Additional Insureds ("Additional Insureds") are <br />included as an Additional Insured as respects to General Liability as required by written contract. <br />General Liability policy shall. be Primary and Non-contributory with any other insurance in force for or which may be <br />purchased by Additional Insured as required by written contract. <br />Waiver of Subrogation applies in favor of Additional Insured with respects to Workers Compensation as permitted by <br />law. <br />The General Liability policy includes a Separation of Insureds clause. <br />INSURER AFFORDING COVERAGE: Allianz Global Risks US Insurance Company NAIC4: 35300 <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, Rol Num: USP00064124, Limit: $40Mpo$200M <br />Carrier: Ace American, Rol Num: CXa37839000014, Limit: $40Mpo$200M <br />Carrier: Hartford Fire, Rol Num: 20UFLEU9386, Limit: $40Mpo$200M <br />Carrier: Everest Indemnity, Pol Num: RP31?000005--241, Limit. $25Mpo$200M <br />Carrier: Columbia Casualty, Rol Num: RMP7035047282, Lmt: $20Mpo$200M: <br />Carrier: IRONSHORE, Rol Num: 100D682831-01, Limit: $25Mpo$200M <br />Carrier: Canopius, Rol Num: CUS74000036-00,Limit:$10Mpo$200M <br />ACORD 101 (2008101) © 2008 ACORD CORPORATION. All rights reserved. <br />The ACORD name and logo are registered marks of ACORD <br />SR ID:27336631 BATCH:3847292 CERT: W37854091 <br />