Laserfiche WebLink
KILEY COMPANY A-2011-068 & AGR # TBD REVIEWED BY: EUNICE HEREDIA (PO 5 OF 9) <br />CkAP4787 <br />A'-, Polley No, Page 1 of I <br />THIS ENDORSEMENT CHANGES THE POLICY PLEASE REACT IT CAREFULLY <br />CMP4787 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 />Pollcytilumber, n', c9%,665 <br />Named Insured: <br />ZLIZABETR 1-1 KILEY INC <br />DBA KILEY COMPANY <br />2681 DOW AVE STS E <br />TUSTIN CA 9218'-7244 <br />Name And Address Of Person Or Orgerifiratlow <br />CITY OF SANTA ANA <br />ITS OFFICERS, EMPLOYEES <br />AGENTS <br />(710 ri;SS ACC <br />21J CIVIC CENTER PLZ <br />SANTA ANA CA 92-01 30�-S <br />The following is added to Paragraph 10.b. of SECTION I AND SECTION It — 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 operationsor <br />b. 'Your work' done under contract with that person of 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 />GoWiriqm StOa farm N1,0,W AowoWe insirW" C*MPAPY 2QGV <br />"rut -1 rf Irmea"M Sal"'C")% Circe, Im M1, ti rv,iMms,o�, <br />