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Policy No. 02 YD0422 0 CMP-4787 <br />Page 1 of 'I <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY <br />CMP-4787 WAIVER OF TRANSFER OF RIGHTS OR RECOVERY AGAINST <br />OTHERS TO US <br />This endorsement modifies insurance provided under the fohowing. <br />BUSINESSOWNERS COVERAGE FORM <br />SCHEDULE <br />Policy Number: 92 YD0422 0 <br />Named Insured: <br />iNANCY 3 3OHL INC D2A TEE COUi\SELING TEAM I1\TERNA1'10NZ11— AND DEA 'THE <br />ORGAN-ZATIONAI. NETWORK <br />PO SOX 10427 <br />SN 3ER.NRDNO CA 92423 0427 <br />Name And Address Of Person Or Organization: <br />CITY OF SANTA ANA ITS OFFICERS EMPLOYES AGENTS VOLUNTEERS & <br />REPRESENTATIVES <br />20 CIVIC: CENTER PLZ <br />SANTA ANA CA 92701 4058 <br />The following is added to Paragraph 10.b. of SECTION I AND SECTION II — COMMON POLICY <br />CONDITIONS: <br />We waive any right of recovery we may have against the person or organization shown in the Schedule <br />because of payments we make for injury or damage arising out of: <br />a. Your ongoing operations; or <br />b. "Your work" done under contract with that person or organization and included in the "products - <br />completed operations hazard". <br />This waiver applies only to the person or organization shown in the Schedule. <br />All other policy provisions apply. <br />CMP-4787 1pp6225 137715.1 11.19-2013 <br />0, Copyright. Slate Fame Mutual Automobile Insurance Company, 2008 <br />Includes uupyrighted material of Insurance services Office, Inc., with its permission. <br />Rime Managanad Division <br />REVIEWED&APPROVED BY: <br />faaa.o:.r.e R. Mnebd <br />'� Risk Management Analyst <br />