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11�= Policy Change : <br /> THE md Business Owner's Policy <br /> HARTFORD <br /> Rates and Premiums have been revised. <br /> The following Additional Insured has been added as an Additional Insured -Vendors. <br /> Additional Insured Name: <br /> City of Santa Ana, its City Council,officers,officials,employees,agents,and <br /> volunteers,20 CIVIC CENTER PLZ,SANTA ANA,CA 92701 <br /> The following Additional Insured has been removed as an Additional Insured-Vendors. <br /> Additional Insured Name: <br /> City of Santa Ana Risk Management Division,20 Civic Center Plaza,Santa Ana, <br /> CA 92702 <br /> Policy is amended to revise the following Endorsement Forms reflecting the changes made to your policy. <br /> FORM NAME COVERAGE PART SUPPLEMENTAL <br /> SC 00 02 10 18 SCHEDULE OF AUDITABLE Common <br /> COVERAGES <br /> 17 SC 00 06 10 18 POLICY CHANGE Common <br /> Premium associated with this Policy Change has pro rata factor 0.849. <br /> Form SC 00 06 10 18 Page 2 of 2 <br /> Process Date: 02/26/2025 ©2018, The Hartford Policy Expiration Date: 01/01/2026 <br /> (May include copyrighted material of Insurance Services Office, Inc., with its permission) <br />