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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 1/3.1/2021 <br />Endorsement Effective Policy Number Endorsement# <br />11/9/2020 1 CIP423084 1 <br />Named Insured n' -- * q 11 f _ Q _.� <br />City of Santa Ana_ .T(.LV �C.UX.fWXJ <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 SCIJM)ULE OII LOCATIONS IS HEREBY ARffNDED TO READ I' OR. NO FURTHER CHARGE: <br />LOCATION41; ISTSTREETIMAINST, SANTA ANA, CA 92701 <br />LOCATION#2: 3R.D STREETI MAIN ST. SANTA ANA, CA 92701 <br />L0CATION#3: 4TII STREET LOCATION#: /MAIN ST. SANTA ANA, CA 92701 <br />LOCATION#4: 310 STREET/BROAD KAY, SANTA ANA, CA 92701 <br />LOCATION#S: 47 H STREET/ BROAD MAY SANTA ANA, CA 92701 <br />LOCATION#6: 5T HSTREET/BROADWAY, SANTA ANA, CA 92701 <br />LOCATION#7: 4THSTREETIBUSH, SANTA ANA, CA 92701 <br />LOCATION#S: 1ST STREETIBR13TOL STREET; SANTA ANA, CA 92701 <br />LOCATION#9: 17THSTREET/BRISTOL SIREET, SANTA AMA, CA 92701 <br />LOCATION#10: MACARTFIURBLVDIBRISTOL STREET, SANTAANA, CA 92701 <br />LOCATION411: MAINSTREETIMCFADDE'NAVE., SANTA ANA, CA 92701 <br />LOCATION#12: HARBOR BLVDNICFADDENAFIE., SANTA ANA, CA 92701 <br />LOCATIONO3: GRANDI DIER, &ANT A ANA, CA 92701 <br />LOCATION04: 17TI-I STRITETICENTRE ON17TF7, SANTA ANA, CA 92701 <br />LOCATION05; ISTS7REET%DOWNTOWNPLAZA, SANTA ANA, CA 92701 <br />LOCATIONW 6: MADVIKASHINGTON, SANTA.ANA, CA 92701 <br />LOCATION#17: RAITT/MACARTHUR BLIND„ SANTA ANA, CA 92701 <br />LOCATION#I8: GREENVILLE/ALTON, SANTA ANA, CA 92701 <br />LOCATION#19: MAIN STREETIWARNERAVE„ SANTAAAA, CA 92701 <br />LOCATION#20. FLO fM SIMETIBISHOI , SANTA ANA, CA 92701 <br />All other terms and conditions remain unchanged. <br />knhom 12/4/2020 <br />Wek Mana�emenC DlWelan <br />ReqEWEo 6Mraovm By., <br />Rlck Manngemeni Analyst <br />