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AGENCY CUSTOMER ID: <br /> LOC#: <br /> A ADDITIONAL REMARKS SCHEDULE Page 2 of 2 <br /> AGENCY <br /> NAMEDINSURED <br /> Willis TOWerS Watson Northeast, Inc. Fifth Asset, Inc., d/b/a DebtBook <br /> POLICY NUMBER 1431 W Morehead at. Suite 200 <br />- <br /> See Page I Charlotte, NC 26208 <br /> CARRIER NAIC CODE <br /> See Page 1 See Page 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, its City Council, its officers, officials, employees, agents, and volunteers are included as <br /> Additional Insureds as respects to General Liability and Cyber Tech E&O policy. <br /> General Liability policy shall be Primary and Non-contributory with any other insurance in force for or which may be <br /> purchased by City of Santa Ana, its City Council, its officers, officials, employees, agents, or volunteers. <br /> Waiver of Subzogation applies in favor of City of Santa Ana, its City Council, its officers, Officials, employees, <br /> agents, and volunteers with respects to General Liability and Cyber Tech E&O policy. <br /> INSURER AFFORDING COVERAGE: Evanston Insurance Company NAIC#: 35375 <br /> POLICY NUMBER: MKLVIWMA001255 EFF DATE: 02/01/2025 EXP DATE: 11/01/2025 <br /> TYPE OF INSURANCE: LIMIT DESCRIPTION: LIMIT AMOUNT: <br /> Indemnifiable D&O Liability Each Claim/Aggregate $3,000,000 <br /> INSURER AFFORDING COVERAGE: Beazley Insurance Company Inc NAIC#: 37540 <br /> POLICY NUMBER: V369A3250201 EFF DATE: 02/01/2025 EXP DATE: 11/01/2025 <br /> TYPE OF INSURANCE: LIMIT DESCRIPTION: LIMIT AMOUNT: <br /> CRIME Limit Each Loss $1,000,000 <br /> Employee Theft Insured Property Deductible each loss $25,000 <br /> ACORD 101 (200$l01) ©2008 ACORD CORPORATION. All rights reserved. <br /> The ACORD name and logo are registered marks of ACORD <br /> SR ID: 27761091 BATCH: 3969855 CERT: W390555d5 <br />