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NOTICE OF CANCELLATION, NONRENEWAL, CONDITIONED RENEWAL, DECLINATION OR CHANGE IN POLICY <br />PREMIUM/TERMS <br />(California) <br />NAME AND Century Surety Company <br />ADDRESS c/o Bass Underwriters <br />OF INSURANCE 6951 W. Sunrise Blvd. <br />COMPANY <br />Plantation, FL 33313 <br />NAME AND With 51% of [he Company remaining in the Clients Name <br />ADDRESS Dennis LLuy) and the remainder with his Partner (Dave <br />OFINSURED Leon) <br />The Ritz and Yost, Inc. <br />307 North Spurgeon <br />Santa Ana, CA 92701 <br />KIND OF POLICY: <br />Package W -Wind - Commercial <br />POLICY /APPLICATION /BINDERNO.: CCP712336 <br />EFFECTIVE DATE OF NOTICE: <br />2/5/12 12 :OI AM <br />(DATE) ( HOUR - STANDARD THE AT THE ADDRESS OF THEINSURED) <br />GATE OF MAILING: 1/4/12 <br />NAME AND ADDRESS OF AGENT /BROKER: <br />Bart J De Lio Ins. Agency <br />5855 E. Naples Plaza <br />Suite 2'18 <br />Long Beach, CA 90803 <br />(Specific information concerning the cancellation <br />or nonrenewal has been given to the Insured.) <br />TO THE ADDITIONAL INTEREST: <br />You are notified that the above policy is cancelled or nonrenewed effective on and after the hour and date mentioned above. This notice is being provided to you as you have <br />been provided with a certificate of insurance on the above policy. Any interest you may have in the above policy is terminated. Q <br />AUTHOR ED REPRES TATIVE <br />NAME AND <br />City of Santa Ana <br />ADDRESS OF <br />20 Civic Center Plaza, 8th Floor <br />ADDITIONAL <br />P- O. Box 1988, M31 <br />INTEREST <br />Santa Ana, CA 92701 <br />(E)CaU 351 h (Ed. 5 -06) UNIFORM ADDITIONAL INTEREST'S COPY Page 1 of 1 <br />