Laserfiche WebLink
6809H717919 <br />BA8F335897 <br />POLICY NUMBER: UB4K463295 <br />C U P7 K299343 <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br />DESIGNATED ENTITY - NOTICE OF <br />CANCELLATION PROVIDED BY US <br />This endorsement modifies insurance provided under the following: <br />ALL COVERAGE PARTS INCLUDED IN THIS POLICY <br />SCHEDULE <br />CANCELLATION: Number of Days Notice of Cancellation: 30 <br />PERSON OR City of Santa Ana <br />ORGANIZATION: Attn: Risk Management Division <br />ADDRESS: 20 Civic Center Plaza <br />Santa Ana CA 92701 <br />PROVISIONS: <br />If we cancel this policy for any statutorily permitted <br />reason other than nonpayment of premium, and a <br />number of days is shown for cancellation in the <br />schedule above, we will mail notice of cancellation to <br />the person or organization shown in the schedule <br />above. We will mail such notice to the address shown <br />in the schedule above at least the number of days <br />shown for cancellation in the schedule above before <br />the effective date of cancellation. <br />IL T4 05 03 11 9)2011 The Travelers Indemnity Company. All rights reserved. <br />Page 1 of 1 <br />tvek Mo ugetnmt Diwlan <br />eREmEWED & APPR�O�V�ED BY. <br />r �I�tMfiK Z VkWVFC <br />® Risk Management Analyst <br />93683115 1 21-go A. 1, IC 21 -1 1 e.--. ?c't9 9/11 2 12 1 1 '1:11 on 31-,1 <br />