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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 officials, officers, <br />agents, employees and <br />volunteers <br />City of Santa Ana <br />Risk Management Division <br />20 Civic Center Plaza, <br />4th Floor <br />Santa Ana, CA 92701 <br />ADDRESS: <br />201, 201,220 & 305 E. 4TH; 301-307 N. SPURGEON, SANTA ANA, 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 />PI&M¢aagemeatl7lWelDe <br />4 REVIEWED&MPROVm BV: <br />a fear its a I;, V:f 4"l <br />Risk Management Analyst <br />56939721 1 20-21 GL-A -n-WC I Sherry Young 1 8/7/2020 3:02,49 PM (PDT) I Page 4 of 8 <br />