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SANTA ANA GOLF, LLC (COURSECO, INC.)
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SANTA ANA GOLF, LLC (COURSECO, INC.)
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Last modified
5/6/2026 9:06:50 AM
Creation date
4/16/2026 5:01:25 PM
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Contracts
Company Name
SANTA ANA GOLF, LLC (COURSECO, INC.)
Contract #
A-2026-024
Agency
Parks, Recreation, & Community Services
Council Approval Date
3/3/2026
Expiration Date
6/30/2041
Insurance Exp Date
1/1/2027
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THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br /> This endorsement changes the policy to which it is attached effective on the inception date of the policy unless a different <br /> date is indicated below. <br /> (The following "attaching clause" need be completed only when this endorsement is issued subsequent to preparation of the policy). <br /> This endorsement, effective 12:01 AM 04/27/2026 forms a part of Policy No. WC 063585217 CA <br /> Issued to Santa Ana Golf, LLC <br /> By AIU Insurance Company <br /> LIMITED ADVICE OF CANCELLATION TO SCHEDULED ENTITIES <br /> (WORKERS' COMPENSATION ONLY) <br /> This policy is amended as follows: <br /> In the event that the Insurer cancels this policy for any reason other than non-payment of premium, and <br /> 1. the cancellation effective date is prior to this policy's expiration date; <br /> 2. the Named Insured or, if applicable, any other employers named in Item 1 of the Information Page is under an <br /> existing contractual obligation to notify a certificate holder(s) when this policy is canceled (hereinafter, the <br /> "Certificate Holder(s)") and the Named Insured has provided the Insurer, either directly or through its broker of <br /> record, either: <br /> (a)the name of the entity shown on the certificate, a contact name at such entity and the U.S. Postal Service <br /> mailing address of each such entity; or <br /> (b) the email address of a contact at each such entity; and <br /> 3. prior to the effective date of cancellation, the Named Insured confirms to the Insurer, either directly or through its <br /> broker of record, that the persons or organizations set forth in the Schedule below, as well as their respective <br /> addresses listed, should continue to be a part of the Schedule and, if not, the names of the persons or organizations <br /> that should be deleted, <br /> the Insurer will provide advice of cancellation (the "Advice") to each such Certificate Holder(s) confirmed by the <br /> Named Insured in writing to be correctly a part of the Schedule within 10 days after the Named Insured confirms the <br /> accuracy of the Schedule below with the Insurer; provided, however, that if a specific number of days is not stated <br /> above, then the Advice will be provided to such Certificate Holder(s) as soon as reasonably practicable after the Named <br /> Insured confirms the accuracy of the Schedule below with the Insurer. <br /> Proof of the Insurer emailing the Advice, using the information provided and subsequently confirmed by the Named <br /> Insured in writing, will serve as proof that the Insurer has fully satisfied its obligations under this endorsement. <br /> This endorsement does not affect, in any way, coverage provided under this policy or the cancellation of this policy or the <br /> effective date thereof, nor shall this endorsement invest any rights in any entity not insured under this policy. <br /> The following definitions apply to this endorsement: <br /> 1. Named Insured means the first named employer in Item 1 of the Information Page of this policy. <br /> 2. Insurer means the insurance company shown in the header on the Information Page of this policy. <br /> WC 99 00 58 Page 1 of 2 <br /> (Ed. 04/11) <br />
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