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ALEX W KOUTSOUBAS <br />Pf OMM--MYTO <br />9036 RESEDA BLVD #105 <br />COWNERC/AL <br />NORTHRIDGE, CA 91324 <br />Policy number: 993140787 <br />Underwritten by: <br />United Financial Cas Co <br />Insured: <br />Ron Shashua <br />Ron Shashua <br />18440 HATTERAS ST <br />May 8, 2025 <br />LOS ANGELES, CA 91356 <br />Policy Period: Feb 14, 2025 -Aug 14, 2025 <br />Mailing Address <br />United Financial Cas Co <br />PO Box 94739 <br />Cleveland, OH 44101 <br />1-800-444-4487 <br />For customer service, 24 hours a day, <br />7 days a week <br />Waiver of Subrogation Endorsement <br />This endorsement modifies insurance provided under the following: <br />Commercial Auto Policy <br />Motor Truck Cargo Liability Coverage Endorsement <br />Commercial General Liability Coverage Endorsement <br />We agree to waive any and all subrogation claims against the person or organization designated below. <br />Name of Person or Organization: <br />CITY OF SANTA ANA ITS CITY COUNCIL, OFFICERS, EMPLOYEES, AGE <br />20 CIVIC CENTER PLAZA <br />SANTA ANA, CA 92071 <br />This endorsement applies to policy number: 993140787 <br />Issued to: Ron Shashua <br />Endorsement effective: May 7, 2025 Expiration: August 14, 2025 <br />All other terms, limits and provisions of this policy remain unchanged. <br />Form 8610 (02119) <br />