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AGENCY CUSTOMER ID: <br />LOC #: <br />AC RIY 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 />McLean VA 22102 <br />POLICY NUMBER <br />G25604635004 <br />CARRIER <br />NAIC CODE <br />ACE American Insurance Company <br />22667 <br />EFFECTIVE DATE: 7/1/2020 <br />ADDITIONAL REMARKS <br />THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, <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 />JU 201 0 <br />MANCINE R. VILLAREAL <br />ACORD 101 r200R/011 <br />© 2008 <br />The ACORD name and logo are registered marks of ACORD <br />56414149 1 20-21 GL/AU/LTIe/NC/Prof 52M I Melt Rush 1 7/2/2020 2:23:46 PM (COT) I Page 2 of 2 <br />All rights reserved. <br />ATTACHMENT <br />