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GENERAL CHANGE ENDORSEMENT <br />This endorsement changes the policy effective on the inception date of the policy unless another date is indicated below: <br />Name of Insurance Company(ies) <br />Atain Specialty Insurance Company <br />Atain Spec Insurance Company 100.0% GonLiab <br />Inception Date Expiration Date <br />11/9/2020 1/31/2021 <br />Endorsement Effective <br />Policy Number Endorsement # <br />11/9/2020 <br />_ <br />CIP423084 1 <br />Named Insured <br />Cityof Santa Ana <br />�/ _� -+_ <br />��C�K'11g: <br />Countersigned By <br />(Authorized Representative) <br />IN CONSIDERATION OF THE PREMIUM PREVIOUSLY CHARGED, IT IS HEREBY UNDERSTOOD AND AGREED <br />THAT THE POLICY IS AMENDED AS FOLLOWS; <br />TIM SCHEDULE OF LOCATIONS IS I4BREBY A11+IENDED TO READ 1,O'R, NO FURTHER CHARGE: <br />LOCATIONW: ISTSTREETIAMINST., SANTAANA, CA 92701 <br />LOCATION92.' 37tD STREET/MAIN ST. SANTA AAA, CA 92701 <br />LOCATIONW: 4TH STREET LOCATION#: AMAIN ST. SANTA"A, CA 92701 <br />LOCATION##.• 3RD STREETI BROADWAY, SANTA ANA, CA 92701 <br />LOCA7I0N#5: 4TH STREET/BROAD IdlAY, SANTA ANA, CA 92701 <br />LOCATION#6: 5THSTREE'TIBROADIVAY, SANTAANA, CA 92701 <br />LOCATION#7: 4THSMEET/BUSH, SANTAANA, CA 92701 <br />LOCATION48: IST S'TREETIBRISTOL STREET, SANTAANA, CA 92701 <br />LOCATIO09: 17THSTREETIBRISTOL STREET, SANTA ANA, CA 92701 <br />LOCATION#10: MACARTHUR BLPDI BRISTOL STREET, SANTAANA, CA 92701 <br />LOCATION#I l: MAIN STREETI MCFADDENATIR, SANTA ANA, CA 92701 <br />LOCATION912: HARBOR BLVDIAdCFADDENAVE., SANTA ANA, C4 92701 <br />LOCATION#13: GRAND/DYER SAWAANA, CA 92701 <br />LOCATIO014: 17TH STREET/CENTRE ON 17TH, SANI'A ANA, CA 92701 <br />LOCATION#15: 1ST STREETI DO6VNTOWNPLALA, SANTA ANA, CA 92701 <br />LOCATION816: MAIN/WASHINGTON, SANTAANA, CA 92701 <br />LOCATIONW7: RAI'1TYWCARTHUR BLYD., SANTAANA, CA 92701 <br />LOCATION#18: GRE'ENVILLEIALTON, SANTA ANA, CA 92701 <br />LOCATIONW: MATAWRF_ET/TfWAW,R.APE, SANTAANA, CA92701 <br />LOCATION00: FLOWER STREWBISHOP, SANTAANA, CA 92701 <br />All other terms and conditions remain unchanged. <br />knhom 12/4/2020 <br />.�-,w wekkMa„agencnlDtvis�on <br />RWRVED & h'Pwovm sv: <br />�x <br />Rls.lc Nhsn7gemenk Analysk <br />