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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 CIP423084 1 <br />Named Insured ��// <br />City of Santa Ana �yL WAW gQ-C(.lG'l4kw <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 />LOCATION#1: 1 ST STIZEETI AMMIN ST, SANTA ANA, CA 92701 <br />LOCATION92: 3RD SYR17ET/AMAIN ST. SANTA ANA, CA 92701 <br />LOCATION43: 4TH S%RLET LOCATION#: /AMAIN ST. SANTA ANA, CA 92701 <br />LOCA7ION94: 3RD STREEI%BROADW4Y,, SANTAANA, CA 92701 <br />LOCATION#5: 4THS'T12EET/BROADYVAI; SANTA ANA, CA 92701 <br />LOCATION46: 5THSTREET/BROADWAY, SANTA AAA, CA92701 <br />LOCATION#7: 4TF7STREET/BUSH, SANTAANA, CA 92701 <br />LOCATION#8: 1ST STREET/BRISTOL STREET, SANTA AAA, CA 92701 <br />LOCATION0: 17TH STREET/BRISTOL STREET, SANTAANA, CA 92701 <br />LOCATION#10: AVCARTHUR BLVD/BRISTOL STREET, SANTAANA, CA 92701 <br />LOCA7'ION#11: AMAIN STREET/AICFADDENAM., SANTA ANA, CA 92701 <br />LOCA7ION912: HARBOR BLPDMCFADDE'NAVE., SANTAANA, CA 92701 <br />LOCATION#13: GRAND/DYER, SANTA ANA, CA 92701 <br />LOCATION#14: 17TH STRF.'P.,T/CENTRE ON 17TH, SANTA ANA, CA 92701 <br />LOCATION#15: ISTSTRL'MYLOATrTOWNPLAZA, SANTAANA, CA 92701 <br />LOCATION#16: MAIN/WASHINGTON, SANTA ANA, CA 92701 <br />LOCATION#17: RAITT/MACARTHUR BLVD., SANTA ANA, CA 92701 <br />LOCATION#18: GREENVILLE/ALTON, SANTA ANA, CA 92701 <br />LOCATION419: MAIN STREET/ WARNER A i/'., SANTA ANA CA 92701 <br />LOCAT ION#20: FLOWER STREET/BISHOP, SANTA ANA, CA 92701 <br />All other terms and conditions rcmain unchanged. <br />knhom 12/4/2020 <br />WaltManag=MtDMsbn <br />IiRE <br />ccVIEWED&APPROVED pPt IIId��� BY.' <br />RiSA Minaneme tAnalyst <br />