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Houston Casualty Company <br />Houston, TX <br />End. Effective Date <br />Named Insured <br />Policv Number <br />Endorsement <br />05/11/2022 <br />Nati's House dba Neutral Ground <br />H22SS20071-01 <br />11 <br />This insurance is issued pursuant to the California <br />Insurance Code, Sections 1760 through 1780, and <br />is placed in an insurer or insurers not holding a <br />Certificate of Authority from or regulated by the <br />California Insurance Commissioner. <br />PROFESSIONAL LIABILITY AND GENERAL LIABILITY INSURANCE ENDORSEMENT <br />A. PROFESSIONAL LIABILITY (CLAIMS -MADE AND REPORTED COVERAGE) <br />B. GENERAL LIABILITY (OCCURRENCE COVERAGE) <br />WAIVER OF SUBROGATION AS TO SPECIFIED PERSON(S) OR ORGANIZATION(S) <br />In consideration of an additional premium in the amount of $250.00 and notwithstanding <br />anything contained in Section Vill. POLICY CONDITIONS, (B) Subrogation, of this Policy to <br />the contrary, it is understood and agreed that the Company will waive any right of recovery it <br />may have against any person or organization named in the Schedule below, with whom the <br />Named Insured has agreed to waive such right of recovery in a written contract or agreement <br />because of payments the Company makes under this Policy for any Claim resulting from work <br />performed by the Named Insured pursuant to such contract or agreement; provided, however, <br />that the Named Insured's contract or agreement with such person or organization is executed <br />prior to: <br />1. with respect to Professional Liability Coverage, the date any Wrongful Act giving rise to <br />the Claim is committed or allegedly committed; or <br />2. with respect to General Liability Coverage, the date any General Liability Incident <br />giving rise to the Claim occurs. <br />SCHEDULE <br />Name of Person or Organization <br />City of Santa Ana <br />20 Civic Center Plaza <br />Santa Ana. CA 92701 <br />ASP 2050 Page 1 of 2 <br />aurplus Lines Tax: <br />$ <br />7.50 <br />Stamping Fee: <br />$ <br />0.63 <br />Policy Fee: <br />$ <br />0.00 <br />Ethos Filing Fee: <br />$ <br />0.00 <br />Agency Fee: <br />S <br />0.00 <br />.tll/it10iE: <br />RENEWED6A R im <br />%au p4ruoa <br />{� <br />�Ruk <br />ManagenmtUmalNtle T,� <br />