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HEALTH <br />PROFESSIONAL LIAM <br />PROVIDERS <br />$URANW.l NOORS MINT <br />Agreement to Provide Notice of- Cancellation <br />In consideration of the premium paid, it is agreed that if the policyto which this enddrsement is <br />attached Is cancelled before the expiration date, we will endeavor to mail notice to the person or <br />entity named below. However, fellure to mall such notice shell Impose no obligation or liability of <br />any kind upon the company, Its agents or representatives, <br />Person or Entity Name and Address: City of strata Ana, its Oftrcers, Agents <br />and Employees <br />PO Sox •1 M8 <br />Santa Ana CA 92702 <br />This endorsement Is a part of your polloy and takes•efPeot on the.effeotive date of your•polloy, unless <br />another effective date IS $110M below: All othgr provjalons of the policy remain. unchanged. <br />Must Be compjat$cr Gorrx?te.Qnly When Ii77s t=ais?r»ent fr;NfPf F'reparadWrF$ fh? F'dflcy ---- <br />-,Qt 1s 7Vd fa f=fl'autl? wXh fhe Foll <br />SNOT. NO. POLICY NO, IMED TO (ENDORSEMENT EFFECTIVE DATE <br />1 28$755008 .. 1Nestey A Basch; <br />G-123828-B (D7/2001) <br />DMD 8107!09 <br />SSp?CK <br />?SA E• <br />City Attorney <br />Assistant <br />sraIias <br />TOTAL P..01