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AGENCY CUSTOMER ID: <br />LOC #: <br />.4 oR ADDITIONAL REMARKS SCHEDULE <br />Page 2 Of 2 <br />AGENCY <br />NAMED INSURED <br />Willis Insurance Services of Georgia, Inc. <br />Fidelity National Financial Inc and its Subsidiaries <br />Attn: Risk Mgmt Dept <br />601 Riverside Ave, Bldg 5 <br />POLICY NUMBER <br />See Page 1 <br />Jacksonville, FL 32204 <br />CARRIER <br />NAIC CODE <br />See Page 1 <br />See Page 1 <br />EFFECTIVE DATE: See Page 1 <br />ADDITIONAL REMARKS <br />THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, <br />FORM NUMBER: 25 FORM TITLE: Certificate of Liability Insurance <br />The City of Santa Ana, 20 Civic Center Plaza, Santa Ana, California 92701; its officers, employees, agents, volunteers <br />and representatives are named as Additional Insureds ("Additional Insureds") with regard to liability and defense of <br />suits arising from the operations and uses performed by or on behalf of the Named Insured. <br />The General Liability coverage is written on a Primary and Non -Contributory basis with the Separation of Insureds <br />form. <br />INSURER AFFORDING COVERAGE: Allianz Global Risks US Insurance Company <br />POLICY NUMBER: USP00049218 EFF DATE: 11/15/2018 EXP DATE: 11/15/2019 <br />TYPE OF INSURANCE: LIMIT DESCRIPTION: LIMIT AMOUNT: <br />Bldgs/BPP/BI Limit $200,000,000 <br />Special with Quake/Flood Replacement Cost <br />Property Quota Share <br />ADDITIONAL REMARKS: <br />All Effective 11/15/2018 - 11/15/2019 <br />Carrier: Allianz <br />Policy Number: USP00049218 <br />Limit: $40M po $200M <br />Carrier: Ace American <br />Policy Number: CXD37839000008 <br />Limit: $50M po $200M <br />Carrier: Westport <br />Policy Number: NAP045198907 <br />Limit: $40M po $200M <br />Carrier: Zurich American <br />Policy Number: PPR489174109 <br />Limit: $70M po $200M <br />NAIL#: 35300 <br />REVIEWED BY: 11EUNICE HEREDIA (PGfe OF y) <br />ACORD 101 (2008/01) © 2008 ACORD CORPORATION. All rights reserved. <br />The ACORD name and logo are registered marks of ACORD <br />SR ID: 17059368 BATCH: 958186 CERT: W8879296 <br />