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Endorsement <br /> P01W Penod AUGUST 1,2025 TO AUGUST 1,2026 <br /> Eflectiva Date AUGUST I,2025 <br /> Powy Number 3505-66-62 DTD <br /> Insured 1+T TOPCO.INC. <br /> NaFne-of Company ( BEAT NURTIEF.RN QiSURANCE COWANY <br /> Date Yssued A UGU ST 18.2025 <br /> T'bis Ei r mmt applies[o the following forms: <br /> G04EXAL LIAfSIlTr e' <br /> s 1 ter Conditions..Trwfsr Or Waivar V Right:;Of 1tscayM Agai=(ors,u`.fullawin <br /> Pt„V IMM 7g Ewa m; <br /> 1;*11dirlons <br /> This endorsement changes the policy to which it is attached and is effective on the date issued unless other <br /> {The information below is required only when#hisendorsement Is [ssu-stl subsetluent to preparation o <br /> End orsemerit Effective 08-01—2 5 Policy No. 71749628 Endorserr <br /> Insured VT `OPCQ f INC , Premium <br /> Insurance Company Pacific Employers Insurance company <br /> Countersigned By <br /> Kind regards, <br /> Tu Tran Nguyen I Risk Management Technician <br /> City of Santa Ana - Human Resources Department <br /> 20 Civic Center Plaza I Santa Ana, CA 92701 <br /> Office: 714-647-5141 <br /> Email: TNguyen20(a)-santa-ana.orq I santa-ana.orq/human-resources Linkedln <br /> I nstagram <br /> City Hall hours are 8 a.m. to 5 p.m. Monday through Thursday, and 8:00 a.m. to 5:00 p.m. every other Friday. .. <br /> here for a list of observed holidays and Friday closure dates. <br /> The mySantaAna mobile app puts the power of the Santa Ana city government in the palm of your hand! The <br /> free app allows residents to quickly and easily report issues to the City, access City services, and find news <br /> and events. It is available to download from the Apple App Store and on Google Play. <br /> 4 <br />