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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 Atain Spec Insurance Company 100.0% GenLiab <br />Inception Date Expiration Date <br />11/9/2020 1/31/2021 <br />Endorsement Effective Policy Number Endorsement# <br />11/9/2020 1 CIP423084 1 <br />Named Insured �s N%-V w 9 �� <br />City of Santa Ana .1i <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 />THE SCHEDULE OF LOCATIONS IS HEREBY AMENDED TO READ FOR NO FURTHER CHARGE: <br />LOCATION91: 1ST STREET/MAINST, SANTA ANA, CA 92701 <br />LOCATION92: 3RD STREET/MAINST.SANTA AMA, CA 92701 <br />LOCATION93: 4THSTREET LOCATION#: /MAIN, T.T. SANTA AAA, CA 92701 <br />LOC,ITION#4: 3RD STREET/BROADWAY, SANTAANA, CA 92701 <br />LOCATION45: 4THSTREET/BR0ADRMAI; SANTAANA, CA 92701 <br />LOCATION96: 5THSTREET/BROADWAY, SANTAANA, CA 92701 <br />LOCATION97: 4THSTREFTIBUSH, SANTAANA, CA 92701 <br />LOCATION98: 1ST STREET/BRIJTOLSTREET, SANTAANA, CA 92701 <br />LOCATION0: 17THSTREET/BRISTOL STREET, SANTAANA, CA 92701 <br />LOCATION#10: A11ACARTHUR BLVD/BRISTOL STREET, SANTAANA, CA 92701 <br />LOCATION#11: MAIN STREET/MCFADDENAVE., SANTA AAA, CA92701 <br />LOCATION912: HARBOR BLVDIA11CFADDENAVE., SANTA ANA, CA 92701 <br />LOCATION913: GRAND/DYER SANTA ANA, CA 92701 <br />LOCATI0N#14: 17TH STREET/CENTRE ON 17TH,, SANTA ANA, CA 92701 <br />LOCATION#15: IST STREET/DOWNTOWNPLAZA, SAN'!'t1 ANA, CA 92701 <br />LOCATION#16: MAIN/WASHINGTON, S WA ANA, CA 92701 <br />LOCATION#17: RAITT/MACARTHUR BLVD., SANTA ANA, CA 92701 <br />LOCATION#18: GREENVILLEIALTON, SANTA ANA, CA 92701 <br />LOCATION#19 MAIN STREET/WARMFR AVE., SANTA ANA. CA 92701 <br />LOCATION#20: FLOWER STREETIBISHOP, SANTA ANA, CA 92701 <br />All other terms and conditions remain unchanged. <br />knhom 12/4/2020 <br />�, x RiakManagenteniDivisinn <br />8 REVIEWED & APPROVED BY. <br />Risk M:.nngement Analyst <br />