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Last modified
4/8/2024 9:20:52 AM
Creation date
7/11/2022 4:38:37 PM
Metadata
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Template:
Contracts
Company Name
4LEAF
Contract #
A-2022-072-01
Agency
Planning & Building
Council Approval Date
5/17/2022
Expiration Date
5/16/2025
Destruction Year
2030
Notes
For Insurance Exp. Date see Notice of Compliance
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POLICY NUMBER: 68001268720 <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br />DESIGNATED PERSON OR ORGANIZATION - NOTICE OF <br />CANCELLATION' OR NONRENEWAL PROVIDED BY US <br />This endorsement modifies insurance provided under the following: <br />ALL COVERAGE PARTS INCLUDED IN THIS POLICY <br />SCHEDULE <br />CANCELLATION: Number of Days Notice: <br />WHEN WE DO NOT RENEW (Nonrenewal): Number of Days Notice: <br />PERSON OR <br />ORGANIZATION: CITY of SANTA ANA <br />ADDRESS: 20 CIVIC CENTER PLAZA, 4TH FLOOR <br />SANTA ANA CA 92701 <br />M <br />IM <br />PROVISIONS <br />B. If we do not renew this policy for any legally <br />A. If we cancel this policy for any legally permitted <br />permitted reason other than nonpayment of <br />reason other than nonpayment of premium, and a <br />premium, and a number of days is shown for <br />number of days is shown for Cancellation in the <br />When We Do Not Renew (Nonrenewal) in the <br />Schedule above, we will mail notice of <br />Schedule above, we will mail notice of <br />cancellation to the person or organization shown <br />nonrenewal to the person or organization shown <br />in such Schedule. We will mail such notice to the <br />in such Schedule. We will mail such notice to the <br />address shown in the Schedule above at least the <br />address shown in the Schedule above at least the <br />number of days shown for Cancellation in such <br />number of days shown for When We Do Not <br />Schedule before the effective date of cancellation. <br />Renew (Nonrenewal) in <br />effective date of nonrene R1akMarugemmtDM9im <br />REVIEWED 6 APPROv®By: <br />IL T4 00 05 19 © 2019 The Travelers Indemnity <br />Company. All rights reserved. 5 Af , Auwdo <br />�'. <br />® Risk Management Specialist <br />
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