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Last modified
1/10/2022 10:08:36 AM
Creation date
1/10/2022 10:07:44 AM
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Template:
Contracts
Company Name
CI SOLUTIONS
Contract #
N-2022-002
Agency
Police
Expiration Date
12/1/2022
Insurance Exp Date
6/6/2022
Destruction Year
2027
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PI-CANXAICH-002 (05/11) <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br />CANCELLATION NOTICE TO SCHEDULED ADDITIONAL INSURED OR <br />CERTIFICATE HOLDER <br />This endorsement modifies insurance provided under the following: <br />COMMERCIAL GENERAL LIABILITY COVERAGE PART <br />PROFESSIONAL LIABILITY COVERAGE PART <br />COMMERCIAL CRIME COVERAGE PART <br />COMMERCIAL INLAND MARINE COVERAGE PART <br />COMMERCIAL PROPERTY COVERAGE PART <br />COMMERCIAL AUTOMOBILE COVERAGE PART <br />SCHEDULE OF ADDITIONAL INSUREDS OR CERTIFICATE HOLDERS <br />AI or CH <br />Additional Insured or Certificate Holder <br />Address <br />AI <br />City of Santa Ana <br />20 Civic Center Plz F1 4 <br />Risk Management Division <br />Santa Ana, CA 92701 <br />The following is added to A. CANCELLATION of the Common Policy Conditions of the above applicable <br />coverage part: <br />A. In the event we cancel the policy in accordance with the policy's terms and conditions, we will <br />endeavor to mail written notice of cancellation to Additional Insureds or Certificate Holders, <br />shown in the above SCHEDULE within the time frame listed below. However, failure to mail <br />such notice shall impose no obligation of any kind upon us, our agents or representatives. <br />1. 30 days before the effective date of cancellation if we cancel for any reason other than for <br />non - payment of premium. <br />As respects Additional Insureds, the above cancellation provision applies only when the <br />Additional Insured shown in the above SCHEDULE is added to the policy by a separate <br />additional insured endorsement as the CANCELLATION NOTICE TO ADDITIONAL INSURED <br />OR CERTIFICATE HOLDER does not provide additional insured coverage. <br />"MouganadD sim <br />(N REVIEWED&APPROVEDBY <br />Page 2 of 5 <br />''-- RI3H YSTanl�cn�4nl AnnlYst. <br />
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