Laserfiche WebLink
MESA UNDERWRITERS SPECIALTY <br />INSURANCE COMPANY <br />Policy Number: MP0004010006031 <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br />NOTICE OF CANCELLATION OR NON -RENEWAL - CERTIFICATE HOLDERS <br />This endorsement modifies insurance provided under the following: <br />THIS ENDORSEMENT APPLIES TO ALL COVERAGE PARTS <br />6*1ya21 Bill 19 <br />Person(s) or Organization(s) including Mailing Address: <br />City of Santa Ana, officers, agents, employees, and volunteers <br />Risk Management Division <br />20 Civic Center Plaza <br />Santa Ana, CA 92702 <br />The Person(s) or Organization(s) listed or described in the SCHEDULE above have requested that they receive <br />written notice of cancellation or non -renewal when this policy is cancelled or non -renewed by us for any reason <br />other than non-payment. We will endeavor to mail or deliver 30 days written notice to the Person(s) or <br />Organization(s) listed or described in the SCHEDULE. <br />The notification of cancellation or non -renewal of the policy is solely for the purpose of informing the Person(s) or <br />Organization(s) shown in the SCHEDULE the effective date of cancellation or non -renewal and does not grant, <br />alter, or extend any rights or obligations under this policy. Our failure to provide such notification to the Person(s) <br />or Organization(s) shown in the SCHEDULE will not extend any policy cancellation or non -renewal date nor impact <br />or negate any cancellation or non -renewal of the policy. This endorsement does not entitle the Person(s) or <br />Organization(s) listed or described in the SCHEDULE above to any benefit, rights or protection under this policy. <br />Any provision of this endorsement that is in conflict with a statute or rule is hereby amended to conform to that <br />statute or rule. <br />All other terms and conditions of this policy remain unchanged. <br />MUS 01 01 10045 0120 Includes copyrighted material of Insurance Services Office, Inc., with its permis: "a RdaPcMn Diu <br />Insured Copy ""I �f P REmewEa&M Bar; <br />,p �lltc ` %azi pVeewoq <br />"" "� Risk Management Clerical Aic4e <br />