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MM Policy No. 96ESP9017 2118--FA65 CMP-4787 <br /> Page 1 of 1 <br /> THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY <br /> CMP-4787 WAIVER OF TRANSFER OF RIGHTS OR RECOVERY AGAINST <br /> OTHERS TO US <br /> This endorsement modifies insurance provided under the following: <br /> BUSINESSOWNERS COVERAGE FORM <br /> SCHEDULE <br /> Policy Number: 96ESP9017 <br /> Named Insured: <br /> 110% INC <br /> PO BOX 538 <br /> SALIDA CC <br /> 81201--0538 <br /> Name And Address Of Person Or Organization: <br /> City of Santa Ana, its City council, officers, employees, agents, and <br /> volunteers <br /> 20 Civic Center PLZ <br /> Santa Ana CA 92701-4058 <br /> The following is added to Paragraph 10.b. of SECTION I AND SECTION II — COMMON POLICY <br /> CONDITIONS: <br /> We waive any right of recovery we may have against the person or organization shown in the Schedule <br /> because of payments we make for injury or damage arising out of: <br /> a. Your ongoing operations; or <br /> b. "Your work" done under contract with that person or organization and included in the "products- <br /> completed operations hazard". <br /> This waiver applies only to the person or organization shown in the Schedule. <br /> All other policy provisions apply. <br /> CMP-4787 1006225 137716.1 11-19-2013 <br /> �P,Copyright,State Farm Mutual Automobile Insurance Company,2008 <br /> Includes copyrighted material of Insurance Services Office, Inc.,with its permission. <br /> i <br />