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*Starr Surplus Lines Insurance Company <br />Notice of Cancellation and Material Changes Amendatory <br />Endorsement <br />Policy Number: 1000066896201 Effective Date: April 5, 2021 at 12:01 A.M. <br />Named Insured: Big Ben, Inc. <br />This endorsement modifies the insurance coverage form(s) listed below that have been <br />purchased by you and evidenced as such on the Declarations page. Please read the endorse <br />ment and respective policy(ies) carefully. <br />Commercial General Liability Coverage Form <br />It is hereby agreed that if we: <br />cancel this Policy: <br />a. for any reason other than non-payment of premium or <br />b. at the request of the Named Insured, or <br />2. reduce coverage, except for the reduction of the applicable limit of insurance by the <br />payment of judgments or settlements under Coverages A or B or medical expenses under <br />Coverage C, <br />then we will send 30 (thirty) days' written notice to the entity designated in the Schedule below. <br />Failure to provide such notice shall not affect our right to cancel the Policy, nor shall it affect <br />the cancellation of this Policy with respect to any entity not listed below. <br />Scheduled Designated Entity <br />City of Santa Ana, California <br />All other terms and conditions of this Policy remain unchanged. <br />Signed for STARR SURPLUS LINES INSURANCE COMPANY <br />Steve Blakey, President <br />Nehemiah E. Ginsburg, Genera Counsel <br />MANUSCRIPT (06/10) <br />Includes copyrighted material of ISO Properties, Inc., used with Its permission. <br />�,. _„, RlakMmagemenfD[Nelmt <br />;.,,,�i REmEww&APPRovEDBV: <br />it �^ .a f4Md4� P. V:. &4&4Ll <br />Risk Management Analyst <br />