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POLICY CHANGE DOCUMENT <br /> POLICY NO.: PHPK2624672-023 <br /> Philadelphia Indemnity Insurance Company 20597 ,. IMA, Inc. <br /> NAMED INSURED Wiseplace, A CA Corp dba <br /> Wise Silver Center <br /> MAILING ADDRESS 1505 E. 17th St. Ste.#214 <br /> Santa Ana, CA 92705-8520 <br /> POLICY PERIOD: FROM 01/01/2025 TO 01/01/2026 at <br /> 12:01 A.M. Standard Time at your mailing address shown above. <br /> CHANGE EFFECTIVE 01/01/2025 CHANGE# 2 REVISION # 2 <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 /> Path ID 18324003 <br /> Total Annual Total Prorate <br /> Additional/Return Premium$ 0.00 Additional/Return Premium $ 0.00 <br /> NO CHANGE NO CHANGE <br /> COUNTERSIGNED BY <br /> (Date) (Authorized Representative) <br /> 03/14/2025 <br /> Issue Date Insurance Policy Page 1 of 1 <br />