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SUPPLEMENT TO CERTIFICATE OF LIABILITY INS # 71107 JUN222022 i <br />DESCRIPTION OF OPERATIONS, LOCATIONS, VEHICLES <br />The Clry of Santa Ana, Risk Management, It's officers, employees, agents, representatives, and volunteers are named as additional <br />Insured per form CG 20 12 1219 on the GL policy. Primary and Non -Contributory wording applies. Waiver of Subrogation In Favor of <br />The Clry of Santa Ana per forth CG 24 04 12 19. <br />Additional Insured, Primary & Non -Contributory Wording, and Waiver of Subrogation applies perform (50461AIS01, 600PNCV01, <br />50461SWF01) on the Auto policy. <br />Waiver of Subrogation on the WC Policy per form #10217 <br />Certificate of Insurance shall provide thirty (30) day prior written notice of cancellation per attached form UTS-410g (2-11). <br />Those usual to the Insured's operations. <br />RenEwm6Awrtw <br />Ru4 Mvugavmt Diwton <br />,' `: mev: <br />%u i7lG:Joor <br />