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AGENCY CUSTOMER ID: <br />LOC #: <br />A O ADDITIONAL REMARKS SCHEDULE <br />Page 2 of 2 <br />AGENCY <br />NAMED INSURED <br />Willis Towers Watson Southeast, Inc. <br />Fidelity National Title <br />Company and its Subsidiaries <br />Attn: Fidelity National <br />601 Riverside Ave, Bldg <br />Financial Inc. Risk Mgmt <br />5 <br />POLICY NUMBER <br />See Page 1 <br />Jacksonville, FL 32204 <br />CARRIER <br />NAIC CODE <br />See Page 1 <br />Be' Page 1 <br />EFFECTIVE DATE: See Page <br />1 <br />THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, <br />FORM NUMBER: 25 FORM TITLE: Certificate of Liability Insurance <br />The City of Santa Ana, its officers, employees, agents, volunteers and representatives are named as Additional Insureds <br />on the General Liability policy as required by written contract and Auto Liability. <br />General Liability as required by written contract policy shall be Primary and Non-contributory with any other insurance <br />in force for or which may be purchased by Additional Insureds as required by written contract. <br />Waiver of Subrogation applies in favor of Additional Insureds with respects to General Liability as required by written <br />contract, Auto Liability and Workers Compensation as permitted by law. <br />INSURER AFFORDING COVERAGE: Allianz Global Risks US Insurance Company NAIC#: 35300 <br />POLICY NUMBER: USP00064124 EFF DATE: 11/15/2024 EXP DATE: 11/15/2025 <br />SUBROGATION WAIVED: Y <br />TYPE OF INSURANCE: LIMIT DESCRIPTION: LIMIT AMOUNT: <br />Bidgs/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, Pol Num: CXD37839000014, Limit: $40Mpo$200M <br />Carrier: Hartford Fire, Pol Num: 20UFLEH9386, Limit: $40Mpo$200M <br />Carrier: Everest Indemnity, Pol Num: RP3P000005-241, Limit: $25Mpo$200M <br />Carrier: Columbia Casualty, Pol Num: RMP7035047282, Lmt: $20Mpo$200M <br />Carrier: IRONSHORE, Pol Num: 1000682831-01, Limit: $25Mpo$200M <br />Carrier: Canopius, Pol Num: CUS74000036-00,Limit:$10mpo$200M <br />ACORD 101 (2008/01) © 2008 ACORD CORPORATION. All rights reserved. <br />The ACORD name and logo are registered marks of ACORD <br />SR ID: 27221956 BATCH:3Bll539 CERT: W37628527 <br />