Laserfiche WebLink
YPJ Policy No. 90 C3N185 5 90 C3N185 5 CMP-4787 <br />Page 1 of 1 <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY <br />CMP-4787 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 />Policy Number: 90 C3NI85 5 <br />Named Insured: <br />HALCYON BEHAVIORAL LLC <br />1080 W SHAW AVE STE 105 <br />FRESNO CA 93711-3722 <br />Name And Address Of Person Or Organization: <br />CITY OF SANTA ANA <br />RISK MANAGEMENT DIVISION <br />20 CIVIC CENTER PLAZA <br />PO BOX 1988 <br />SANTA ANA, CA 92702 1988 <br />The following is added to Paragraph 10.b. of SECTION I AND SECTION II — 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 operations; or <br />b. "Your work" done under contract with that person or 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 />CMP-4787 ®, Copyright, State Farm Mutual Automobile Insurance Company, 2008 1006225 137715.1 11-19-2013 <br />Includes copyrighted material of Insurance Services Office, Inc., with its permission. <br />a <br />�'�I _ ���� <br />RWeMawgemattDivisian <br />REVIEWED 6 APPROVED BY. <br />? � <br />P. U:. IAt <br />Risk Management Analyst <br />