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A, SCOTTSDALE INSURANCE COMPANY'S' <br />CHANGE ENDORSEMENT NO. 1 <br />Policy No. CPS8265540 Effective Date 09/3 0/202 5 <br />12:01 A.M. Standard Time <br />GOOD BIRD, INC :DBA BARBARA'S <br />Named Insured FORCE FREE AN Agent No, 040BK <br />COVERAGE PART INFORMATION —Coverage parts affected by this change as indicated by® below: <br />❑ Commercial Property <br />® Commercial General Liability o0 <br />❑ Commercial Crime <br />❑ Commercial Inland Marine <br />❑ Commercial Liquor Liability <br />❑ OCP Liability <br />CHANGE DESCRIPTION <br />In consideration of no change in premium, it is hereby understood and agreed that the <br />following amendments have been made to this policy. <br />Waiver of Transfer of Rights of Recovery Against Others to Us (Waiver of Subrogation) <br />added with CITY OF SANTA ANA, ITS CITY COUNCIL, OFFICERS, OFFICIALS, EMPLOYEES, AGENTS, <br />AND VOLENTEERS RISK MANAGEMENT DIVISION,20 CIVIC CENTER PLAZA, 4TH FLOOR SANTA ANA CA <br />92702 <br />Waiver of Transfer of Rights of Recovery Against Others to Us (Waiver of Subrogation) - <br />CITY OF SANTA ANA <br />RISK MANAGEMENT DIVISION changed to CITY OF SANTA ANA, ITS CITY COUNCIL, OFFICERS, <br />OFFICIALS, EMPLOYEES, AGENTS, AND VOLENTEERS RISK MANAGEMENT DIVISION,20 CIVIC CENTER <br />PLAZA, 4TH FLOOR SANTA ANA CA 92702 <br />All other terms and conditions remain unchanged. <br />Form CG 24 04, 12-19, WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US <br />(WAIVER OF SUBROGATION) is changed <br />PREMIUM CHANGE <br />Additional $ . oo Return $ . oo <br />IBM <br />AUTHORIZED REPRESENTATIVE <br />UTS-244L 06-92 <br />/ BH 10/612025 <br />DATE <br />