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THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br />ENDORSEMENT <br />This endorsement, effective 12:01 A.M. 06/29/2007 forms a part of Policy <br />No. GL 159-54-15 issued to TYCO INTERNATIONAL MANAGEMENT COMPANY <br />By AMERICAN HOME ASSURANCE COMPANY <br />(The above "attaching clause" need be completed only when this endorsement is issued <br />subsequent to the preparation of the policy). <br />NOTICE OF CANCELLATION AND NONRENEWAL TO CERTIFICATE BOLDER <br />This endorsement modifies insurance provided under the following: <br />COMMERCIAL GENERAL LIABILITY COVERAGE FORM <br />BUSINESS AUTO COVERAGE FORM <br />TRUCKERS COVERAGE FORM <br />GARAGE COVERAGE FORM <br />We shall provide written notice in accordance with state law in the event this policy is <br />cancelled or nonrenewed, for any reason other than non payment of premium, to those <br />entities set out in the schedule below. <br />Schedule <br />Notice will be mailed to: City of Santa Ana, 20 Civic Center Plaza <br />Santa Ana, CA 92701 <br />To the attention of: Contract and Permits Division <br />Contract, Permit or Job Number: TBA <br />AUTHORIZED REPRESENTATIVE <br />82541 (6/03) <br />