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Ai SCOTTSDALE INSURANCE COMPA.NYO <br />Attached to and forming a part of <br />Policy No. BCS0039983 <br />Named Insured r.AT,TFORNTA <br />1102 <br />Endorsement Effective Date 07-01-22 <br />12:01 A.M., Standard Time <br />Agent No. 04743 <br />THIS ENDORSEMENT 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(ies) 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 fail to mail such notice as indicated in 1. above, any coverage afforded to the party(ies) 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 />mailed; <br />b. Until the effective date of replacement coverage is obtained elsewhere by the first Named Insured; <br />or <br />c. Until the termination date requested by the Named Insured, <br />whichever occurs first. <br />SCHEDULE <br />Name and Address of Party(ies): <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, <br />AGENTS, REPRESENTATIVES, AND VOLUNTEERS <br />AUTHORIZED REPRESENTATIVE <br />UrS-4109 (2-11) Page 1 of 1 <br />DATE <br />Rhk M.%.i ondm - <br />REnE 6AvrRw®ar. <br />1iLL� kf.L' 70:� f�rc�o�r <br />�aakmar..de,nmmrnraaae . <br />Insured Copy <br />