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M011111' • <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 (08609) <br />POLICY NUMBER: 2022-08609 <br />NAMED INSURED: Los Angeles Dream Shapers (The) <br />POLICY CHANGE EFFECTIVE: 06/02/2022 <br />COVERAGE PART AFFECTED: COMMERCIAL GENERAL LIABILITY <br />POLICY CHANGE#: 4 Page 1 <br />The following additional insured(s) is/are hereby added to the policy: <br />NIAC-Al Locations - ALL <br />City of Santa Ana Risk Managment Division $0 <br />20 Civic Center Plaza <br />Santa Ana, CA 92702 <br />All other terms, limits and conditions remain the same. <br />ADDITIONAL PREMIUM: <br />RETURN PREMIUM: <br />TOTAL PREMIUM: <br />06/03/2022 <br />$0 <br />$0 <br />$0 <br />ftmejim & AmavED <br />u <br />."'"• A <br />Girsl<M1rF.anagenxsiE CY eroral Psde <br />AUTHORIZED SIGNATURE <br />