Laserfiche WebLink
This Endorsement Changes the Policy. Please Read It Carefully. <br />NOTICE TO CERTIFICATE HOLDER OR DESIGNATED ENTITY <br />INDIVIDUAL <br />This endorsement modifies all coverage parts included in this policy. <br />SCHEDULE <br />PERSON OR ORGANIZATION: City of Santa Ana, <br />its officials, officers, agents, employees <br />and volunteers <br />City of Santa Ana <br />Risk Management Division <br />20 Civic Center Plaza, 4th Floor <br />Santa Ana, CA 92701 <br />ADDRESS: <br />201, 220 & 305 E. 4TH; 301-307 N. SPURGEON, SANTA ANA, <br />CA 92701 <br />Number of Days Notice of Cancellation: 30 <br />(If left blank, no notice will be sent.) <br />Number of Days Notice of Nonrenewal: <br />(If left blank, no notice will be sent.) <br />This endorsement forms a part of <br />Policy Number: CPLS1033HO Effective Date: 03-01-2020 <br />Insured: S&A MANAGEMENT, LLC <br />Includes copyrighted material of <br />SIL 02 022 0412 Insurance services Office, Inc., with <br />its permission. <br />RiekMooganerdD'aision <br />��ccRweweD&ppAPPRO BY: <br />� r'1Aay.N�[ ram. V�ILk.,rt <br />Risk Management Analyst <br />56939718 1 20-21 GL-A -O -WC I Sherry Young 1 8/7/2020 3:02:97 PM (PDT) I Page 4 of 8 <br />