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IN <br /> FE-6609 <br /> Workers Compensation insurance <br /> POLICY NUMBER: 92-TA-QO41-9 <br /> WAIVER OF TRANSFER OF RIGHTS OF RECOVERY <br /> AGAINST OTHER TO US <br /> Policy Number: 92-TA-QO41-9 <br /> Named Insured: Travel Santa Ana <br /> SCHEDULE <br /> NAME OF PERSON OR ORGANIZATION: <br /> CITY OF SANTA ANA, ITS CITY COUNCIL, OFFICERS, OFFICIALS, EMPLOYEES, <br /> AGENTS, AND VOLUNTEERS <br /> CITY OF SANTA ANA <br /> ATTENTION: COMMUNITY DEVELOPMENT AGENCY <br /> 20 CIVIC CENTER PLAZA. M-25 <br /> SANTA ANA, CA 92701 <br /> Information re aired to complete this Schedule, if not show above, will be shown in the Declarations. <br /> The following is added to Paragraph 10.b. of SECTION 1 AND SECTION II —COMMON <br /> CONDITIONS: <br /> We waive any right of recovery we may have against the person or organization shown <br /> in the Schedule above because of payments we make for any injury arising out of: <br /> a. Your ongoing operations; or <br /> b. Your work done under contract with that person or organization and included in the <br /> products-completed operations hazard. <br /> This waiver applies only to the person or organization shown in the Schedule above. <br /> All other policy provisions apply. <br /> FE-6671 <br /> ©, Copyright,State Farm Mutual Automobile Insurance Company,2008 <br /> Includes copyrighted material of Insurance Services Office, Inc.,with its permission. <br />