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AGENCY CUSTOMER ID: 100401 <br />LOC#: _ <br />/LTi � � ► � I i � :.. ■ � <br />AGENCY <br />NAMEDINSURED <br />Willis Insurance Services of Georgia, Inc. <br />Videlity National Financial, Inc. and its Subs' <br />Risk Mgxmt Dept <br />601 Riverside Ave, Bld 5 <br />Jacksonville, <br />POLICY NUMBER <br />See First Page <br />FL 32204 <br />CARRIER <br />NAIC CODE <br />See First Page <br />EFFECTIVEDATE: See First Page <br />AI3n1TInNAI RFhAARKFt <br />THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, <br />FORM NUMBER: 25 FORM TITLE: CERTIFICATE OF LIABILITY INSURANCE <br />Property $200 000 000 Limit Quota Share <br />Carrier & Policy Number <br />Allianz #CLP3017110 <br />Liberty Mutual Fire #MJ2L9L448030026 <br />Zurich American #PPR489174107 <br />Ace American Ins #CXD37839000006 <br />Westport #NAP045198905 <br />Special including Wind/Earthquake/Flood <br />Valuation - Property Damage Replacement Cost <br />Participation Percentage <br />205 of 200M <br />10% of 200M <br />20% of 200M <br />30of 200M <br />20% of 1200M <br />Commonwealth Land 'Title Insurance Company is included as a Named Insured under the above <br />referenced policies. <br />The City of Santa Ana, its officers, employyees, agents, volunteers and representatives are named <br />as Additional Insureds on the General Liability policy as required by written contract, <br />M� <br />REVIEWED BY: EUNICE HEREDIA (PG AF,)) <br />AnnnniniMnnami1 11-11 n <br />• _---.------•----•--^-r-•oy.a�Oa.L210 W4UVOAk;Utf61WHFUKAIIUIV.All rights reserved. <br />The ACORD name and logo are registered marks of ACORD <br />P <br />