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SCOTFSDAI.E INSURANCE COWANYO <br />Attached to and forming a part of <br />Policy No. Bcs0039359 <br />Named Insured CALIFORNIA <br />Endorsement Effective Date 07-01-21 <br />12*01 A. PA, Standard Time <br />THIS ENDORSENENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY <br />AMENDMENT OF CANCELLATION NOTICE TO <br />FIRST NAMED INSURED AND SCHEDULED PARTY(IES) <br />The following Conditions are added to the Cancellation Condition: <br />1. If we cancel this policy for any reason other than nonpayment of premium, we will mail written <br />notice of cancellation to the first Named Insured and to any party(tes) at their designated <br />mailing address(es), shown in the Schedule below, at least 30 days before the effective date <br />of cancellation. <br />2 If we tail to mall such notice as indicated in 1. above, any coverage afforded to the party(fes) will re- <br />main In effect: <br />a. For the number of days shown in 1. above from the date a written notice of cancellation is actually <br />nailed; <br />b. Until the effective date of replacement coverage Is obtained elsewhere by the first Named Insured; <br />or <br />c. Until the terndnation date requested by the Named Insured, <br />whichever occurs first <br />SCHEDULE <br />Name and Address of Parly(les): <br />CITY OF SANTA ANA RISK MANAGEMENT DIVISION <br />20 CIVIC CENTER PLAZA, 4TH FLOOR <br />SANTA ANA, CA 92702 <br />CITY OF SANTA ANA, RISK MANAGEMENT, IT'S OFFICERS, EMPLOYEES, AGENTS, <br />REPRESENTATIVES, AND VOLUNTEERS <br />UTS4109 (2-11) <br />AUTHORIZED REPRESEWATNE DATE <br />Page 1 of 1 <br />L=WCopy <br />Ilse .. <br />p�REVEWM'sD <br />_. <br />- Risk Mrnagement Spetlkist <br />01 <br />