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Endorsement # 3 M-2904 (11/80) <br />GENERAL CHANGE ENDORSEMENT <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br />This endorsement changes the policy on the inception date of the policy or on the date shown below. <br />It is agreed that the policy is changed as follows: <br />In consideration of additional premium shown below, the M 5144a (06/2007) Waiver of Transfer of Rights of Recovery Against <br />Others To Us, has been added to the policy. <br />Actions <br />Waiver of Subrogation <br />Premium <br />Old <br />New <br />AR <br />A <br />City of Santa Ana, its City Council, Officers, Officials, Employees, Agents and Volunteers <br />Attn: PWA PFFR <br />20 Civic Center, Santa Ana, CA 92701 <br />Additional Premium $ <br />Tax: $ <br />State Fee: $ <br />Return Premium $ <br />Pro -Rate Factor: 0.945 <br />All other terms, conditions and agreements remain unchanged. <br />Company Name <br />National Fire & Marine Insurance Company <br />Policy Number <br />72 APB 011724 <br />Endorsement Effective <br />06/26/2025 1:46 PM <br />Named Insured <br />Countersigned at <br />CWE CORP <br />b <br />(Authorized Representative) <br />(The Attaching Clause need be completed only when this endorsement is issued subsequent to preparation of the policy .) <br />M-2904 (11180) 07/03/2025 <br />