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KILEY COMPANY A-2011-068 & AGR # TBD REVIEWED BY: EUNICE FIEREDIA (PG 5 OF 9) <br />CM44787 <br />> ldacy No Pap, I of I <br />'GUS ENDORSEMENT CHANCES THE POLICY KEASE READ IT CARERAW"r' <br />CMP -4787 WAIVER OF TRANSFER OF RIGHTS OR RECOVERY AGAINST <br />OTHERS TO US <br />TNs endwsement mcdMes insurance proWded and Te foWng, <br />BUSiNESSOWN,ERS (,(",)VE PRA(;[", FORM <br />1PEONEMN <br />Named trisured: <br />OLIZAPPTA M KILEY H <br />bBA KILE7 CQMPAN,,' <br />2681 DOW AVE STE E <br />Tn011Y CA 9210-444 <br />Name And Addmss Of Person Or Organization: <br />0T% OV SAMTA ANA <br />11S UFFICERS,EMPhnYEES <br />AGZN01 <br />CIQ PON& ANN&?� <br />2) civic K&NIPP PQ"' <br />SANTA AKA "A 92-�� <br />rh(--,,, d'oA6a,:w'ku rg is added to Pamgmph 10.b. (,rf SECTION I AND SECTION 11 -- COMMON POUCY <br />CONDITIONS <br />We waNe any nWA of rewvwy we noy have agAnst Me pwsw cor orgariizat,f,,,)n shovm w, the SchedWe <br />Cif payments we nmke for QHy or damage allMng W of, <br />a, You� origc�ng oper,.,)tic,tns, of <br />I done tmder canVacl w1h Val pamon or c)"gaQzaNxi and induded to the "pwduds- <br />cofrq',4eted rat ifx') s hazard", <br />Tfab s w,i'6ver aidies oNy W to pemon or sh000i In the Sch(ackk <br />iv� puky prop w,rs�ons appy <br />''X,6225 N5 <br />