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Policy Change GU 269 <br /> Number 6 (11-85) <br /> THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY <br /> IL 12 01 11 85 <br /> POLICY CHANGES <br /> Policy Term: 1/24/2025 to 1/24/2026 <br /> Policy Number: POLICY CHANGES EFFECTIVE COMPANY <br /> 5ST11201-02 1/24/2025 Incline Casualty Company <br /> NAMED INSURED AUTHORIZED REPRESENTATIVE <br /> ELITE EXECUTIVE CHARTER LLC 5Star Specialty Programs a Division of CRC <br /> Insurance Services, Inc. <br /> COVERAGE PARTS AFFECTED <br /> BusAuto <br /> IN CONSIDERATION OF THE PREMIUM CHARGED <br /> IT IS HEREBY UNDERSTOOD and AGREED THE FOLLOWING CHANGE(S)APPLY: <br /> Amend PNC,WOS and Additional Insured City of Santa Ana to say City of Santa Ana, its City Council, officers,officials, employees, <br /> agents, and volunteers(see attached CA2048,CA0444,CA0449, CG2404, CG2001 &CG2026) <br /> LOB Business Automobile Deductible Limit Annual New Annual Old Changell <br /> Total for Article $0.00 $0.00 $0.00 <br /> LOB General Liability Deductible Limit Annual New Annual Old Changell <br /> Total for Article $0.00 $0.00 $0.00 <br /> ALL OTHER TERMS and CONDITIONS OF THIS POLICY REMAIN UNCHANGED <br /> Authorized Representative Signature <br /> 4I9I2025 Copyright, Insurance Services Office, Inc. 1983 Page 1 of 2 <br /> Copyright, ISO Commercial Risk Services, Inc., 1983 9 <br />