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iTATâ–  IAeM <br />IMlIIeAMC• <br />6142A.2 WAIVER OF SUBROGATION <br />This endorsement is a part of your policy. Except for the changes it snakes, all other terms of the <br />policy remain the same and apply to this endorsement. It is effective at the sante tune as your <br />policy unless a different effective date is specified by its in writing. <br />It is agreed that we waive any right of subrogation against the United States of America which <br />may arise as the result of any payment made under this policy. <br />Name and Address of Person or Organization: <br />CITY OF SANTA ANA <br />20 CIVIC CENTER PLAZA <br />SANTA ANA. CA 92701 <br />The Primary Insurance coverage below applies only when there is an "X" in the box_ <br />® Primary Insurance. The insurance provided to the Additional Insured shown above shall be <br />primary insurance_ Any insurance carried by the Additional Insured shall be noncontributory <br />with respect to coverage provided to you. <br />All other policy provisions apply. <br />This endorsement changes the policy to which it is attached and is effective on the date issued unless otherwise stated. <br />(The information below is required only when this endorsement is issued subsequent to preparation of the policy.) <br />Insured Policy No. Fsndorsemenl No. <br />ELIZABETH M KILEY INC 085 9537 -B01 -75D 6142A.2 <br />DBA KILEY COMPANY <br />Page 1 of 1 <br />6142A.2 <br />