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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 />LYa-I J.\I IN <br />PERSON OR ORGANIZATION: <br />City of Santa Ana, its <br />officials, officers, agents, employees 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 201,220 & 305 E. 4TH; 301-307 N. SPURGEON, SANTA ANA, CA <br />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: ACVS1325ZG <br />Insured: S & A MANAGEMENT <br />SIL 02 022 0412 <br />Effective Date: 03-01-2020 <br />LLC <br />Includes copyrighted material of <br />Insurance Services Office , Inc., with <br />its permission. <br />56939718 1 20-21 GL-A -uL-WC I Sherz Young 1 8/7/2020 3:02;47 PM (PUT) I Page 6 of 8 <br />FlakNowgemmtDMston <br />REv It o & APPRovm Br. <br />o� <br />Risk Management Analyst <br />of <br />