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C H U B B• Policy Conditions <br />Endorsement <br />Policy Period ICILY 1, 2020 TO DULY I, 2021 <br />Effective Date RILY I, 2020 <br />Policy Number 3602-52-22 WCE <br />Insured APPLIED TECHNOLOGY GROUP INC. <br />Name of Company FEDERAL INSURANCE COMPANY <br />Date Issued APRIL 21, 2020 <br />This Endorsement applies to the following forms: <br />COMMON POLICY CONDITIONS <br />I Inder Conditions, the following condition is added. <br />Conditions <br />Notice Of Cancellation <br />When we cancel this policy we will notify person(s) or organizations(s)shown in the Schedule at <br />To Scheduled Persons <br />least 30 days ( Ill days in the event of nonpayment of premium) in advance of the cancellation date. <br />Or Organizations When <br />We Cancel <br />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 />Persons) or Organization(s): CTPY OF SANTA ANA <br />RISK MANAGIMENT DIVISION <br />Address: 20 CIVIC CENIliR PLAZA, 4TH FLOOR <br />SANTA ANA, CA 92702 <br />All other terms and conditions remain unchanged. <br />REVIEWED & APPROVED <br />By Risk MANAGEMENT DMSi0N <br />,,..JUL 07.20211 <br />Policy Condibena Notice or Cancellanon I r ptzd n� contlnued <br />Form 80-02-9790 (Ed 3-11) Endorsement y N\ Page 1 <br />