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C H U B B' Policy Conditions <br />Endorsement <br />Policy Period DECEMBER 27, 2019 TO DECEMBER 27, 2020 <br />Effective Date DECEMBER 27, 2019 <br />Policy Number 3599-25-15 WCE <br />Insured NILA, INC. <br />Name of Company FEDERAL INSURANCE COMPANY <br />Date Issued OCfOBER 9, 2019 <br />This Endorsement applies to the following forms: <br />COMMON POLICY CONDITIONS <br />Under Conditions, the following condition is added. <br />Conditions <br />Notice Of Cancellation When we cancel this policy for any reason, other than non-payment of premium, we will notify <br />To Scheduled Persons person(s) or organization(s) shown in the Schedule at least 30 days in advance of the cancellation <br />Or Organizations When date. <br />We Cancel Any failure by us to notify such person(s) or organization(s) will not: <br />• impose any liability or obligation of any kind upon us; or <br />• invalidate such cancellation. <br />Schedule <br />Person(s) or Organization(s): GBCINTERNA IONALBANKISAOA <br />Address: 5670 WILSHIRE BLVD SUITE 1780 <br />LOS ANGELES, CA 90036 <br />Person(s) or Organization(s): CITY OF SAN'TA ANA, RISK MANAGEMENT, rf'S OFFICERS, <br />EMPLOYEES, AGENTS, REPRESENTATIVES, AND <br />VOLUNTEERS <br />Address: 20 CIVIC CENTER PLAZA, 4TH FLOOR <br />SANTA ANA, CA 92702 <br />Notice Of Cancellation To Scheduled Persons Or Organizations <br />Policy Conditions (Except Non -Payment Of Premium) continued <br />Form 80-02-9779 (Ed. 3-11) Endorsement ^� ,� page 1 <br />54173002 119-20 GL/AL a UMB I Lucy Faleofa 1 2/19/2020 9:19:37 AM (PST) I Page 4 of 5 <br />