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NOTICE: THESE POLICY FORMS AND THE APPLICABLE RATES ARE <br /> EXEMPT FROM THE FILING REQUIREMENTS OF THE NEW YORK <br /> INSURANCE LAW AND REGULATIONS. HOWEVER, THE FORMS AND <br /> RATES MUST MEET THE MINIMUM STANDARDS OF THE NEW YORK <br /> INSURANCE LAW AND REGULATIONS. <br /> WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS <br /> Named Insured Endorsement Number <br /> Cornoast Corporation <br /> Policy Symbol Policy Number Policy Porlod FtfectiVo Idle of lindorsement. <br /> ISA H11352637 121112024 to 12/11202.5 12/01/2024 <br /> Issued By(Name of Insurance Company) <br /> ACE Amorioan InsurAnCO Cpmpalny <br /> Insert the policy number.Tho mmoindsr of:the.information is tG be completed only when thls sndatsement.Is issued,subsequent to the preparation of the policy. <br /> THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br /> This Endorsement modifies Insurance provided under this following. <br /> BUSINESS,AUTO COVERAGE FORM <br /> MOTOR CARRIERS COVERAGE FORM <br /> ,AUTO DEALERS COVERAGE FORM <br /> We waive any tight of recovery we may have against the. parson or organization shown in the Schedule below <br /> because of payments we make for injury or damage arising out of the use of a covered auto. The waiver applies <br /> only to the person or organization shown in the SCHEDULE. <br /> SCHEDULE <br /> City of Santa Ana, Its City Council, officers, officials, employees, agonts, and volunteers <br /> Authorized Representative <br /> DA-1.3415a(06/14) Page. 1 .of 1 <br /> Class Code:2-14057 <br />