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POLICY NUMBER: CX 1554764C <br />BUSINESSOWNERS <br />BP 04 97 0106 <br />WAIVER OF TRANSFER OF RIGHTS OF RECOVERY <br />AGAINST OTHERS TO US <br />This endorsement modifies insurance provided under the following: <br />BUSINESSOWNERS COVERAGE FORM <br />SCHEDULE <br />Name of Person Or Organization: <br />Effective Date: 09/26/2021 <br />CITY OF SANTA ANA ITS OFFICERS, EMPLOYEES, AGENTS, VOLUNTEERS AND REPRESENTATIVES <br />20 CIVIC CENTER PLAZA (M-30) <br />SANTA ANA, CA 92702 <br />Information required to complete this Schedule, if not shown above, will be shown in the Declarations. <br />Paragraph K. Transfer Of Rights Of Recovery <br />Against Others To Us in Section III - Common <br />Policy Conditions is amended by the addition of <br />the following: <br />We waive any right of recovery we may have <br />against the person or organization shown in the <br />Schedule above because of payments we make for <br />injury or damage arising out of your ongoing <br />operations or "your work" done under a contract <br />with that person or organization and included in the <br />"products -completed operations hazard". This <br />waiver applies only to the person or organization <br />shown in the Schedule above. <br />RwEvhv SAr oovmar. <br />°:f„lllllasl: F4A4 . Z V:t&444 <br />Risk Management Malyst <br />BP 04 97 01 06 ISO Properties, Inc., 2004 <br />