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DATE <br /> SUPPLEMENT TO CERTIFICATE OF LIABILITY INS # 79915 JUN242025 <br /> DESCRIPTION OF OPERATIONS, LOCATIONS, VEHICLES <br /> City of Santa Ana, its City Council, its officers,officials,employees,agents,and volunteers are to be covered as additional insureds <br /> with respect to liability arising out of work or operations performed by or on behalf of the Permittee including materials, parts, <br /> equipment,and personnel furnished in connection with such work or operations per form CG 20 38 12 19,CG 20 37 12-19,&CG 20 12 <br /> 12-19 on the GL policy. Primary and Non-Contributory wording applies per form CG 20 01 12 19. Waiver of Subrogation in Favor of <br /> The City of Santa Ana per form CG 24 04 12-19. <br /> Additional Insured,Primary&Non-Contributory Wording,and Waiver of Subrogation applies per forms(50461AIS01,500PNCV01, <br /> 50461SWF01)on the Auto policy. <br /> Waiver of Subrogation on the WC Policy perform#10217 <br /> Certificate of Insurance shall provide thirty(30)day prior written notice of cancellation per attached form UTS-410g(2-11). <br /> Professional Liability-$2,000,000 per occurrence and$2,000,000 aggregate <br /> $5,000,000 Excess to follow the GL,AUTO,WC per the attahced Dec Pages. <br /> Those usual to the insured's operations. <br /> Certificate# 79915 <br />