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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 />SCHEDULE <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: ACVS1325ZO Effective Date: 03-01-2020 <br />Insured: S & A MANAGEMENT, LLC <br />SIL 02 022 0412 Includes copyrighted material of <br />Insurance Services Office, Inc., with <br />its permission. <br />5693971E 1 20-21 OL-AL-OL-WC I Sherry Young 18/9/2020 3;02:40 PM (PDT( I Page 6 of 8 <br />�,: RlekManngtsnentDWidan <br />REviEwED&ArP2ovm8r. <br />loll 'a 7o a a Ill iFAn4cl <br />—'�. ` Risk Management Anatlnt <br />01 <br />