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This Endorsement Changes the Policy. Please Read It Carefully <br />NOTICE TO CERTIFICATE HOLDER OR DESIGNATED ENTITY <br />INDIVIDUAL <br />This endorsement modifies all coverage parts included in this policy. <br />SCHEDULE <br />PERSON OR ORGANIZATION, <br />CITY OF SANTA ANA <br />20 CIVIC CENTER PLAZA <br />P.O. BOX 1988 <br />SANTA ANA, CA 92702-1988 <br />Number of Days Notice of Cancellation: 30 <br />(If left blank, no notice will be sent.) <br />Number of Days Notice of Nonrenewal: <br />(If left blank, no notice will be sent.) <br />This endorsement forma a part of 3/t/zozl <br />Policy Number: ACVS1325ZO Effective Date: <br />Insured: S & A MANAGEMENT, LLC <br />Includes copyrighted malarial of <br />SIL 02 022 0412 Insurance Services Office, Inc, with <br />its pennission <br />Risk Mowganeni Division <br />ckM <br />Risk Management Analyst <br />60484Bll 121-22 WC-GL-A -IP I Stacy Eickhoff 1 3/3/2021 4:14:19 PM (PS'19 I Page 3 of 12 <br />