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Policy Change : <br /> THE Business Owner's PolicyHARTFORD <br /> The schedule associated with Waiver of Subrogation has been revised and modifies your Liability <br /> coverage. <br /> Person or Organization: Address: <br /> COUNTY OF RIVERSIDE 4080 LEMON ST,RIVERSIDE,CA 92501 <br /> City of Eastvale 12363 LIMONITE AVE STE 910, EASTVALE, <br /> CA 91752 <br /> CITY OF SANTA ANA, ITS CITY COUNCIL,OFFICERS,EMPLOYEES,AGENTS, 20 CIVIC CENTER PLZ,Santa Ana,CA <br /> AND VOLUNTEERS 92701 <br /> The following Additional Insured has been associated with Additional Insured - Designated Person or <br /> Organization has been revised. <br /> Additional <br /> CITY OF SANTA ANA,ITS CITY COUNCIL,OFFICERS,EMPLOYEES,AGENTS, <br /> AND VOLUNTEERS,20 CIVIC CENTER PLZ,SANTA ANA,CA 92701-4058 <br /> Policy is amended to revise the following Endorsement Forms reflecting the changes made to your policy. <br /> FOR 6kMNAME COVERAGE PART 00 06 10 18 POLICY CHANGE Common <br /> SL 30 03 10 18 WAIVER OF SUBROGATION Liability <br /> Form SC 00 06 10 18 Page 2 of 2 <br /> Process Date: 04/17/2026 ©2018, The Hartford Policy Expiration Date: 05/01/2027 <br /> (May include copyrighted material of Insurance Services Office, Inc., with its permission) <br />