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WORKERS' COMPENSATION AND EMPLOYERS LIABILITY POLICY <br />Named Insured: <br />Comcast Corporation <br />Pollcy Period: <br />12/1/18 TO 1211/19 <br />Issued By (Name of Insurance Company): <br />Indemnity Insurance Co. of North America <br />Polley Number <br />Symbol: WLR Number: C65440398 <br />Effective Date of Endorsement: <br />09/04/2019 <br />erl the policy number. The remainder ofthe information is to be completed only when this endorsement is issued subsequent to the preparation of <br />policy. <br />NOTICE TO OTHERS ENDORSEMENT - SPECIFIC PARTIES <br />A. If we cancel this Policy prior to its expiration date by notice to you or the first Named insured for any reason other <br />than nonpayment of premium, we will endeavor, as set out below, to send written notice of cancellation, via such <br />electronic or other form of notification as we determine, to the persons or organizations listed in the schedule set <br />out below (the 'Schedule'). You or your representative must provide us with both the physical and e-mail address <br />of such persons or organizations, and we will utilize such e-mail address or physical address that you or your <br />representative provided to us on such Schedule, <br />B. We will endeavor to send or deliver such notice to the e-mail address or physical address corresponding to each <br />person or organization indicated in the Schedule at least 30 days prior to the cancellation date applicable to the <br />Policy, <br />C. The notice referenced in this endorsement is intended only to be a courtesy notification to the person(s) or <br />organization(s) named in the Schedule in the event of a pending cancellation of coverage. We have no legal <br />obligation of any kind to any such person(s) or organization(s). Our failure to provide advance notification of <br />cancellation to the person(s) or organization(s) shown in the Schedule shall impose no obligation or liability of any <br />kind upon us, our agents or representatives, will not extend any Policy cancellation date and will not negate any <br />cancellation of the Policy. <br />D. We are not responsible for verifying any information provided to us in any Schedule, nor are we responsible for <br />any incorrect information that you or your representative provide to us, If you or your representative does not <br />provide us with the information necessary to complete the Schedule, we have no responsibility for taking any <br />action under this endorsement. In addition, if neither you nor your representative provides us with e-mail and <br />physical address information with respect to a particular person or organization, then we shall have no <br />responsibility for taking action with regard to such person or entity under this endorsement. <br />E. We may arrange with your representative to send such notice in the event of any such cancellation. <br />F. You will cooperate with us in providing, or in causing your representative to provide, the e-mail address and <br />physical address of the persons or organizations listed in the Schedule. <br />G. This endorsement does not apply in the event that you cancel the Policy. <br />SCHEDULE <br />Name of Certificate Holder <br />E-Mail Address <br />Physical Address <br />City of Santa Ana <br />Risk Management Division <br />20 Civic Center PIaze, 4th11oor <br />Santa Ana, CA 92702 <br />All other terms and conditions of this Policy remain unchanged. <br />Authorized Representative <br />WC 99 03 71 (01111) <br />