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AGENCY CUSTOMER ID: 100406 <br />LOC#: <br />ACC e <br />I6� - - I ADDITIONAL REMARKS SCHEDULE Page--2-of 2 <br />AGENCY <br />NAMED INSURED <br />Fidelity National Financial, Inc. and its Subs' <br />Willis Insurance Services of Georgia, Inc. <br />Attn: Risk Mgmt Dept <br />601 Riverside Ave, Bldg 5 <br />Jacksonville, FL 32204 <br />POLICY NUMBER <br />See First Page <br />Participation <br />CARRIER <br />NAIC CODE <br />See First Page <br />Allianz #CLP3017918,20%_of <br />I EFFECTIVE DATE: See First Page <br />AUDI I IVIVAL Mr-IIIIY MNO <br />THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, <br />FORM NUMBER: 25 FORM TITLE: CERTIFICATE OF LIABILITY INSURANCE <br />iia <br />;The City of-Sarnta Ana, --20 Civics -C at� ter Plaza, -Santa Ana Tali f ornia 92701 • it ffiTers, emplo ees, <br />agents., volunteers:and representatives:are-name as Addit ona Insureds (,Add lona Insuredskly- <br />-=with_reard_&o and.defense of_suits.-arising fromthe operations and uses performed by --o <br />r <br />on behalgf of the Named Insured. <br />The General -Liability coverage is written on.a Primary and Non -Contributory basis with the - <br />Separation of Insureds form. <br />.i <br />REVIEWED BY: EUNICE HEREDIA (PG OF ) <br />ACORD 101 (2008/01) Coll : 5148101 Tpl : 2178287 Cert : 25807705 ©2008 ACORD CORPORATION. All rights reserved. <br />The ACORD name and logo are registered marks of ACORD <br />Property $200,000 000 Limit Quota Share <br />Number <br />Carrier & Policy <br />Participation <br />Percentage <br />Allianz #CLP3017918,20%_of <br />200M <br />Liberty_Mutual Fixe_#MJ2Lk44.8030027: <br />2OOM <br />Zurich. American.#IPPR489174108 <br />,30%'of <br />200M . <br />=Ace American Ins #CXD3783900.0007 - <br />15%, <br />Of - <br />200M <br />i <br />Westport-#NAP045198906 <br />20% <br />of <br />MOM <br />Special including Wind/Earthquake/Flood <br />Valuation -_;Property Damage Replacement Cost <br />;The City of-Sarnta Ana, --20 Civics -C at� ter Plaza, -Santa Ana Tali f ornia 92701 • it ffiTers, emplo ees, <br />agents., volunteers:and representatives:are-name as Addit ona Insureds (,Add lona Insuredskly- <br />-=with_reard_&o and.defense of_suits.-arising fromthe operations and uses performed by --o <br />r <br />on behalgf of the Named Insured. <br />The General -Liability coverage is written on.a Primary and Non -Contributory basis with the - <br />Separation of Insureds form. <br />.i <br />REVIEWED BY: EUNICE HEREDIA (PG OF ) <br />ACORD 101 (2008/01) Coll : 5148101 Tpl : 2178287 Cert : 25807705 ©2008 ACORD CORPORATION. All rights reserved. <br />The ACORD name and logo are registered marks of ACORD <br />