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AGENCY CUSTOMER ID: <br />LOC #: <br />ARO ® ADDITIONAL REMARKS SCHEDULE <br />Page —of <br />AGENCY <br />NAMED INSURED <br />JILT Specialty USA <br />P Y <br />Kappsch TrafficCom Holding II US Corp. <br />8201 Greensboro Drive <br />Suite 1002 <br />McLean VA 22102 <br />POLICY NUMBER <br />PCS003157 18 <br />CARRIER <br />NAIC CODE <br />AXA Insurance Company <br />33022 <br />EFFECTIVE DATE: 7/1/2018 <br />THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, <br />FORM NUMBER: 25 FORM TITLE: Certificate of Liability (03/16) <br />HOLDER: City of Santa Ana Attn: Vinh Nguyen, P.E., Sr. Civil Engineer PWA - Transportation & Traffic Engineering <br />ADDRESS: 20 Civic Center Plaza Santa Ana CA 92701 <br />Policies evidenced herein include the following as Named Insureds: <br />Kapsch TrafficCom Holding Corp. <br />Kapsch TrafficCom Inc. <br />Kapsch TrafficCom USA, Inc. <br />Streetline, Inc. <br />2008 ACORD CORPORATION_ All rinhfc <br />The ACORD name and logo are registered marks of ACORD ATTACHMENT <br />43250357 118-19 - GL All UMH VIC I Amy Clarke 17/23/2018 7:39:53 AM (CDT) I Page 2 of 2 <br />