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AGENCY CUSTOMER ID: <br /> LOC#: <br /> AC RE) ADDITIONAL REMARKS SCHEDULE Page 2 of 2 <br /> AGENCY NAMEDINSURED <br /> Willis Towers Watson Southeast, Inc. Chicago Title Company <br /> Attn: Fidelity National Financial Inc. Risk Mgmt <br /> POLICY NUMBER 601 Riverside Ave, Bldg 5 <br /> See Page 1 Jacksonville, FL 32204 <br /> CARRIER NAIL 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 /> The General Liability policy includes a Cross Liability clause. <br /> City of Banta 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: A.Llianz Global Risks US Insurance Company NAIC#: 35300 <br /> POLICY NUMBER: USP00064125 EFF DATE: 11/15/2025 EXP DATE: 11/15/2026 <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 11/15/25-11/15/26 <br /> Carrier: Allianz, Pol Num: USPOD064125,Limit: $45Mpo$200M <br /> Carrier: Ace American, Pol Num: CX D37839000 015,Limit: $40Mpo$200M <br /> Carrier: Hartford Fire, Pol Num: 20UFLEE9386,Limit: $40Mpo$200M <br /> Carrier: Gemini, Pol Num: B0801924901,Limit: $25Mpo$200M <br /> Carrier: Columbia Casualty, Pol Num: RMP7035047282,Lmt: $20Mpc$200M <br /> Carrier: IRONSHORE, Pol Num: 1000682631-02, Limit: $20mpo$200M <br /> Carrier: Canopius, Pol Num: CUS74000036-01,Limit:$IOMpo$200M <br /> ACORD 101 (2008101) OO 2008 ACORD CORPORATION. All rights reserved. <br /> The ACORD name and logo are registered marks of ACORD <br /> SR ID: 28885785 BATCH: 4210486 CERT: W41833074 <br />