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Hiscox Insurance Company Inc. <br />Endorsement <br />NAMED INSURED: Alicia Rojas <br />Waiver of Transfer of Rights of Recovery Against Others <br />40 <br />HISCOX <br />encourage courage <br />Page 1 of 1 <br />In consideration of the premium charged, and on the understanding this endorsement leaves all other terms, conditions, <br />and exclusions unchanged, it is agreed the General Terms and Conditions are amended as follows: <br />SCHEDULE <br />Person(s) or Organization(s) <br />City of Santa Ana <br />The following is added to the end of Section V. Other provisions affecting coverage, K. Subrogation: <br />However, with respect to any loss under the General Liability Coverage Part, you may waive your rights of recovery <br />against the person(s) or organization(s) listed in the Schedule above for: <br />1. an occurrence that caused bodily injury or property damage; <br />2. personal and advertising injury caused by an offense arising out of your business operations; or <br />3. bodily injury and property damage included in the products -completed operations hazard. <br />Endorsement Effective: January 23, 2024 Policy No.: P101.174.712.2 <br />By: Kevin Kerridge <br />(Appointed Representative) <br />BOP E1006 CW (11/19) <br />Includes copyrighted material of Insurance <br />Services Office, Inc. with its permission <br />