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CALIFORNIA AMENDATORY ENDORSEMENT <br />f. Failure to cooperate with us in the investigation of a claim; <br />g. Failure to comply with federal or state safety orders; <br />h. Failure to comply with written recommendations of the insurer's designated loss control <br />representative; <br />I. The occurrence of a material change in ownership or any change in your business; <br />j. The occurrence of any change in your business or operations that materially increases the <br />hazard for frequency or severity of loss; <br />k. The occurrence of any change in your business or operations that requires additional or <br />different classifications for premium calculations; or <br />I. The occurrence of any change in your business or operations which contemplates an <br />activity excluded by our reinsurance treaties. <br />If we cancel for any reason listed in (a) through (f), we will give you ten (10) days advance written <br />notice stating when the cancellation is to take effect. Mailing that notice to you at your mailing <br />address shown in Item 1 of the Information page will be sufficient to prove notice. If we cancel for <br />any reason listed in (g) through (I), we will give you thirty (30) days advance written notice; however, <br />we agree that in the event cancellation and reissuance of a policy effective upon a material change <br />in ownership or operations, notice will not be provided. <br />3. In addition, if we cancel this policy, we will deliver thirty (30) days advance written notice to: <br />Office of Self- Insurance Plans <br />2265 Watt Ave., Suite 1 <br />Sacramento, CA 95825 <br />4. The "policy period" will end on the day and hour stated in the cancellation notice. <br />All other terms and conditions of this policy remain unchanged. <br />Endorsement Number: 4 <br />Policy Number: WCX 0055277 00 <br />Named Insured: Western Orange County Self- Funded Workers' Compensation Agency <br />This endorsement is effective on the inception date of this Policy unless otherwise stated herein: <br />Endorsement Effective Date: July 1, 2013 <br />00 GL0403 05 (01 08) Page 2 of 2 <br />