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BENEVATE, INC.
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Last modified
12/23/2020 4:50:52 PM
Creation date
12/23/2020 4:49:21 PM
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Contracts
Company Name
BENEVATE, INC.
Contract #
A-2020-085-05-01
Agency
Community Development
Insurance Exp Date
1/1/1900
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POLICY NUMEER INSURED NAME AND ADDRESS <br />E 6024686380 Eenevate, Inc <br />3423 PIEDMONT RD NE <br />x ATLAN.CA, GA 30305 <br />POLICY CHANGES <br />END. RShMEIT Bf PECTIVE 05/13/2020 <br />This Change Endorsement changes the Policy. Please read it carefully. <br />This Change Endorsement is a part of your Policy and takes effect on the <br />effective date of your Policy, unless another effective date is shown. <br />CHANGES - NOTICE TO CERTIFICATEHOLDERS OF CANCELLATION <br />OR MATERIAL COVERAGE CHANGE <br />This endorsement modifies insurance provided under the following: <br />BUSINESSOWNERS COMMON POLICY CONDITIONS <br />In the event of cancellation or material change that reduces or <br />restrict„ the insurance afforded by this Coverage Part (other <br />than the reduction of aggregate limits through payment of <br />claims), we agree to mail written notice of cancellation or <br />material change at a minimum of thirty (30) days prior to such <br />cancellation or material change, to: <br />SCHEDULE <br />Name of Designated Entity: CITY OF SANTA ANA <br />Address/Contact Information of Designated Entity: <br />RISK MANAGEMENT DIVISION <br />20 CIVIC CENTER PLAZA <br />SANTA ANA, CA 92702 <br />*Information required to complete this Schedule, if net shown <br />above, will be shown in the Declarations. <br />The following conditions are added: <br />1. If the policy is cancelled or not renewed, we will give <br />written notice of such cancellation or nonrenewal to the <br />Designated Entity shown in the Schedule above, or in the <br />Declarations, at a minimum of thirty (30) days prior to <br />such cancellation or nonrenewal. Suchnotice may be <br />delivered or sent by any means of our choosing. The notice <br />to the Designated Entity will state the effective date of <br />Ghelrman bf fho aoat <br />G-56015-5 (ED. 11/91) <br />RBy Risk MANACIC [ti Div si N <br />JUN 6 202D <br />ANGiE AMC& <br />tlSememr <br />
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