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NMI[NONPROFITS <br />INSURANCE <br />ALLIANCE OF CALIFORNIA <br />A Head for Insurance. A Heart for Nonprofits. <br />NONPROFITS INSURANCE ALLIANCE <br />OF CALIFORNIA (NIAC) <br />www.insurancefornonprofits.org <br />POLICY CHANGE <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br />COMPANY: Nonprofits Insurance Alliance of California <br />POLICY NUMBER: 2022-08609 <br />NAMED INSURED: Los Angeles Dream Shapers (The) <br />POLICY CHANGE EFFECTIVE: <br />COVERAGE PART AFFECTED: <br />POLICY CHANGE#: 2 <br />06/02/2022 <br />COMMERCIAL GENERAL LIABILITY <br />(08609) <br />Page 1 <br />The following additional insured(s) is/are hereby added to the policy: <br />NIAC-E61 Locations - ALL <br />City of Santa Ana, its officers, employees, agents and representatives $0 <br />20 Civic Center Plaza <br />Santa Ana, CA 92702 <br />All other terms, limits and conditions remain the same. <br />a'�'a (� 4, <br />AUTHORIZED SIGNATURE <br />06/01 /2022 <br />ADDITIONAL PREMIUM: <br />RETURN PREMIUM: <br />TOTAL PREMIUM: <br />$0 <br />$0 <br />$0 <br />lea & AmavED lr <br />."'"• A <br />Girsl<M1rF.anagenxsiE CY eroral Psde <br />