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AX Western World Insurance Company ❑ Tudor Insurance Company ❑ Stratford Insurance Company <br /> GENERAL CHANGE ENDORSEMENT <br /> Attaching to and forming a part of: <br /> Policy#: NP P 8 8 8 3 2 9 7 Effective Date of Policy: 01/15/2 0 2 6 <br /> Endorsement#: 1 Effective Date of Endorsement: 02 2 0/2 0 2 6 <br /> Insured: Southern California Education Corporation; Se <br /> e Form WW10B <br /> Additional Premium $ Return Premium $ <br /> The following change(s) is/are made in this policy: <br /> With no change in premium, it is agreed and understood that the <br /> Additional Insured amended to read: (Insured Type) Additional Insured <br /> (Insured Name) City of Santa Ana, its City Council, officers, officials, <br /> employees, agents, and, and volunteers, Attention: CDA - Work Center, 801 W <br /> Civic Center Dr, Santa Ana, CA 92701 <br /> The following forms have been amended: <br /> WW180 03/10 Additional Insured Endorsement <br /> ALL OTHER TERMS AND CONDITIONS REMAIN UNCHANGED <br /> Dated: 02/26/2026 <br /> Agent No. <br /> 17 610 Authorized Agent <br /> INSURED WW453(05/23) <br />