Laserfiche WebLink
POLICY NUMBER: 9300325134-00 COMMERCIAL AUTO <br /> CA 04 4410 13 <br /> THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br /> WAIVER OF TRANSFER OF RIGHTS OF RECOVERY <br /> AGAINST OTHERS TO US (WAIVER OF SUBROGATION) <br /> This endorsement modifies insurance provided under the following: <br /> AUTO DEALERS COVERAGE FORM <br /> BUSINESS AUTO COVERAGE FORM <br /> MOTOR CARRIER COVERAGE FORM <br /> With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless <br /> modified by the endorsement. <br /> This endorsement changes the policy effective on the inception date of the policy unless another date is indicated <br /> below. <br /> Named Insured: ULTIMATE ENTERTAINMENT LLC <br /> Endorsement Effective Date: 06-01-2026 <br /> SCHEDULE <br /> Name(s)Of Person(s) Or Organization(s): <br /> CITY OF SANTA ANA"City of Santa Ana, its City Council, officers, officials, employee, <br /> agents, and volunteers" <br /> 26 Civic Center Plaza M-23 <br /> Santa Ana CA 92701 <br /> Information required to complete this Schedule, if not shown above,will be shown in the Declarations. <br /> The Transfer Of Rights Of Recovery Against Others <br /> To Us condition does not apply to the person(s) or <br /> organization(s) shown in the Schedule, but only to the <br /> extent that subrogation is waived prior to the "accident' <br /> or the "loss" under a contract with that person or <br /> organization. <br /> 0 <br /> O <br /> O <br /> O <br /> O <br /> M <br /> O <br /> V <br /> O <br /> V <br /> (2 <br /> LO <br /> N <br /> o CA 04 4410 13 ©Insurance Services Office, Inc.,2011 Page 1 of 1 <br /> M <br /> O <br /> O <br /> V <br /> O <br /> O <br /> 7 <br />