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Inaurann+ (gaup. <br />OEi3 D808332 1001141 <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br />NOTICE OF CANCELLATION TO DESIGNATED ENTITY(S) <br />This endorsement modffles Insurance provided under the following; <br />COMMERCIAL GENERAL LIABILITY COVERAGE PART <br />COMMERCIAL LIABILITY UMBRELLA COVERAGE PART <br />HANOVER COMMERCIAL FOLLOW FORM EXCESS AND UMBRELLA POLICY <br />COMMERCIAL PROPERTY COVERAGE PART <br />BUSINESS AUTO COVERAGE FORM <br />BUSINESSOWNERS COVERAGE FORM <br />OHLmml„ r <br />.rvM4L4 <br />Name of Designated Entity/ Mailing Address or Email Address <br />---•--••------- <br />um er <br />Days Notice <br />CITY OF SANTA ANA <br />RISK MANAGEMENT DIVISION <br />30 <br />20 CIVIC CENTER PLAZA, 4TH FLOOR <br />SANTA ANA,CA <br />92701 <br />(informatlnn ranuirprl to rmm�hra <br />r-•- ••� W�„��u,�, i, nuk onuwn auuve, WIII De shown In the Declarations,) <br />If we cancel this policy for any reason other than nonpayment of premium, we will give written notice of <br />byanamelansooftourechhoosing, TT"hennotiaeshown to the Dtesignatedhe uEntIty(s) willch cstateybe the effective sent <br />mocancellation, pp tdy <br />rre thanthesnumber of Noinaadvan e of<theeffecttive dlateeofrcancelllation thatsw© are equir(ed to provide to the Named Insured for such cancellation. <br />Such notice of cancellation Is solely for the purpose of Informing the Designated Entity(s) of the effective <br />date of cancellatlon and does not grant, alter, or extend any rights or obligations under th[s policy. <br />ALL OTHER TERMS AND CONDITIONS OF THIS POLICY REMAIN UNCHANGED, <br />401.123512 14 Includes copyrighted) material of Insurance Services office, Inc., with its permission. Page 1 of 1 <br />