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THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br /> WAIVER OF SUBROGATION <br /> Policy Number: 72WECAH4BJ3 Endorsement Number: 01 <br /> Effective Date: 09/18/2025 Effective hour is the same as stated on the Information Page of the policy. <br /> Named Insured and Address: <br /> City of Santa Ana, its City Council,officers,officials,employees,agents,and volunteers <br /> City of Santa Ana <br /> ATTN:Audrey Goodson <br /> 801 W. Civic Center Dr., Suite 200 <br /> Santa Ana,CA 92701 <br /> Nothing herein contained shall be held to vary, waive, alter, or extend any of the terms, conditions, agreements or <br /> declarations of the policy, other than as herein stated. <br /> This endorsement shall not be binding unless countersigned by a duly authorized agent of the company, provided that if <br /> this endorsement takes effect as of the effective date of the policy and, at issue of said policy, forms a part thereof, <br /> countersignature on the declarations page of said policy by a duly authorized agent of the company shall constitute <br /> valid countersignature of this endorsement. <br /> Countersigned by CLl,�Grz� <br /> Authorized Representative <br /> Form G-2240-3 B Printed in U.S.A. SEQ 01 Page 1 of 2 <br /> Process Date: Policy Expiration Date: <br />