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80-02-2367 Blanket Additional Insured Scheduled Person or Organization <br />80-02-2653 Primary/Non-Contributory <br />80-02-2000 Blanket Waiver of Subrogation <br />80-02-9780 30 Day Notice of Cancellation <br />Automobile Liability: <br />CA2048 Additional insured <br />16-02-0316 Primary/Non-Contributory <br />CA0444 Blanket Waiver of Subrogation <br />16-02-0303 Blanket 30 Day Notice of Cancellation. <br />Workers Compensation: <br />WC000313 Blanket Waiver of Subrogation <br />WC900375 Blanket Wavier of Subrogation for CA <br />WC420304B Blanket Wavier of Subrogation for TX <br />WC990644 30 Day Notice of Cancellation <br />Umbrella / Excess: <br />70-02-0815 Excess Follow -Form and Umbrella Liability Insurance <br />Professional: <br />PF50930 Additional Insured (per quote) <br />The City, its officers, employees and agents are included as an Additional Insured with respect to General <br />Liability, Automobile and Umbrella will follow form as per written contract. The coverage afforded to the <br />Additional Insured is on a Primary and Non -Contributory basis for General Liability, Automobile and Umbrella <br />if required by written contract. Waiver of Subrogation applies to General Liability, Automobile, Workers <br />Compensation and Umbrella policies in favor of the above listed Additional Insured per written contract. A <br />30 day notice of cancellation will be given except for non-payment of premium will be 10 days if required by <br />written contract. Forms attached 80-02-2000 & 80-02-2305. <br />SAGITTA 25.3 (2016/03) 2 of 2 <br />#S48051175/M48044789 <br />