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AGENCY CUSTOMER ID: <br />LOC #: <br />sa oRo® ADDITIONAL REMARKS SCHEDULE <br />Page of <br />AGENCY <br />NAMED INSURED <br />Marsh Risk and Insurance Services <br />Kappsch TrafficCom Holding II US Corp. <br />8201 Greensboro Drive <br />Suite 1002 <br />POLICY NUMBER <br />McLean VA 22102 <br />G25604635004 <br />CARRIER <br />NAIC CODE <br />ACE American Insurance Company <br />22667 <br />EFFECTIVE DATE: 7/1/2019 <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 Risk Management Division, 4th Floor <br />ADDRESS: 20 Civic Center Plaza Santa Ana CA 92702 <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 />REVIEWED & APPROVED <br />By Risk MANAGEMENT DIVISION <br />jt&�— <br />ACORD 101 (2008/01) <br />© 2008 ACORD <br />The ACORD name and logo are registered marks of ACORD <br />54116981 119-20 - GL AU Umb WC $214 Professional I Matt Rush 1 2/14/2020 8:26:32 AM (CST) I Page 2 of 2 <br />All rights reserved_ <br />ATTACHMENT <br />