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Waiver C11"'11wid'er Of Rights Of Reemety Against Oil ieiis'ro Us <br />Pdtcy Wu: 11flaurevr Pot. I H.s,P.Dat® at Pot. Off. Dasa or Trod. <br />RUS5710seol 00/01./7013 08%01(2018 0&/01/2014 <br />This endorsenioutis issued Lf Elie company named in the Deelduation5.,11. changes the Imlicy onthe effective date listed above <br />at die hour stated in the Declaratimis, <br />TIRSENDOIV ff14iENT CitANCESTHEPOIdCY. PLEASE Riw) r1' wa'i.1aLL `. <br />This end'.orsenient modifies insurance providedunder the: <br />1luwdrtess,iWaCoverage Farm <br />Tmckens Caw nyk, Fenn <br />Garage Cowwwnugm Fenn <br />It'.IutorCuniercovenu+„e libnn. <br />SCHP D U LE <br />Name at Renxm or Orpunianlicas <br />ALL PERSONS AND/OR ORGANIZATIONS THAT ARE REQUIRED BY WRITTEN <br />CONTRACT OR AGREEMENT WITH <br />I EETHE INSURED, EXECUTED PRIOR rTO THE <br />ACCIDENT OR LOSS, THAT fStAhleduleOF SUBROGATION BE PRO�ID ct UNDER THIS <br />rolPOLICY <br />The City of Santa Ana, 20 Civic Center Plaza, Santa Ana, RE: City of Santa Ana - Project #14-6812; Local <br />California 92702; its officers, employees agents and volunteers Street Slurry Seal 2013-2014 <br />we Waive any rigi'3t of reaoeerywe may have agonist tire &si.pnated person or organization show,'nin the schedule because of <br />paymeno we make for injury or damage caused by an iecideu@' or"#css" resulting f€ in tine ownership, rnainte ouric,a, or use of a <br />emend "autia" for which a Waiver of SubDOgntton is required In conjunction with work performed by you for 11> desiguated. <br />pexsai or organization,. The waiver applies only to die Iles gna.ted laerson w organization drown in the schedule, <br />U -CA -320. B CIV (41 94) <br />P'aSe T of i <br />3584 <br />3s°m O�Cl <br />