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Policy Change : <br /> THE . Ra Business owner's PolicyHARTFO <br /> Waiver of Subrogation has been added and modifies your Liability coverage. The fallowing schedule <br /> applies. <br /> City of Santa Ana Parks,Recreation and Community Services 20 CIVIC CENTER PLZ,SANTA ANA,CA <br /> 92701 <br /> The following Additional Insured has been added as an Additional Insured - Designated Person or <br /> Organization. <br /> Additional Insured Name: <br /> City of Santa Ana Parks,Recreation and Community Services,20 CIVIC CENTER <br /> PLZ,SANTA ANA,CA 92701 <br /> Policy is amended to add the following Endorsement Forms reflecting the changes made to your policy. <br /> .}. FORM NAME COVERAGE PART <br /> SC 00 06 10 18 POLICY CHANGE Common <br /> SL 30 03 10 18 WAIVER OF SUBROGATION Liability <br /> ADDITIONAL INSURED- <br /> SL 30 42 10 18 1 DESIGNATED PERSON OR Liability <br /> ORGANIZATION <br /> Policy is amended to revise the following Endorsement Forms reflecting the changes made to your policy. <br /> FORM .- <br /> SPECTRUM SUPPLEMENTAL <br /> SC 00 02 10 18 SCHEDULE OF AUDITABLE Common <br /> COVERAGES <br /> Premium associated with this Policy Change has pro rata factor 0.909. <br /> Form SC 00 06 10 18 Page 2 of 2 <br /> Process Date: 04/17/2025 ©2018, The Hartford Policy Expiration Date: 03/15/2026 <br /> (May include copyrighted material of Insurance Services Office, Inc., with its permission) <br />