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POLICY CHANGE DOCUMENT <br />POLICY NO.: <br />PHPK2624672-023 <br />Philadelphia Indemnity Insurance Company20597IMA, Inc. <br />NAMED INSURED <br />Wiseplace, A CA Corp dba <br />Wise Silver Center <br />1505 E. 17th St. Ste.#214 <br />MAILING ADDRESS <br />Santa Ana, CA 92705-8520 <br />POLICY PERIOD:FROMTOat <br />01/01/202501/01/2026 <br />12:01 A.M. Standard Time at your mailing address shown above. <br />CHANGE EFFECTIVE CHANGE # REVISION # <br />01/01/202522 <br />DESCRIPTION <br />In consideration of the premium reflected, the policy is amended as indicated below: <br />Added: <br />Additional Insured/Waiver of Subrogation <br />City of Santa Ana, its City Council, Officers, Officials, Employees, Agents <br />& Volunteers <br />Per attached schedule <br />18324003 <br />Path ID <br />Total AnnualTotal Prorate <br />Additional/Return Premium $Additional/Return Premium $ <br /> 0.00 0.00 <br />NO CHANGENO CHANGE <br />BY <br />COUNTERSIGNED <br />(Authorized Representative) <br />(Date) <br />03/14/2025 <br />____________________ <br />Issue Date <br />Page 1 of 1 <br />Insurance Policy <br /> <br />