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,JOTICE OF CANCELLATION, NONRENEWAL, CONDITIONED RENEWAL, DECLINATION OR CHANGE IN POLICY <br />PREMIUMrnia) � j/ � f-� <br />(California) / — �,,� <br />NAMEAND . Landmark American Insurance Company <br />ADDRESS <br />OF INSURANCE 945 East Paces Ferry Road <br />COMPANY Suite 1800 <br />Atlanta, GA 30326 <br />NAMEAND . Mx Live Marketing Group Inc <br />OF INSURED 3 Hutton Center Dr. #810 <br />Santa Ana, CA 92707 <br />KIND OF POLICY: <br />General Liability -Commercial <br />POLICY/APPLICATION/BINDERNO.: LBA179153-00 <br />EFFECTIVE DATE OF NOTICE: <br />10/29/ l2 12:01 AM <br />(DATE) (HOUR-STANDAFUTME AT THE ADDRESS OF THE INSURED) <br />DATE OF MAILING: 10/ 16/ 12 <br />NAME AND ADDRESS OF AGENT/BROKER: <br />Anaheim Insurance Services <br />1769 W La Palma Ave <br />Anaheim, CA 92801 <br />(Specific information concerning the cancellation <br />or nonrenewal has been given to the Insured.) <br />t'= zz: W <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 termin, <br />NAME AND <br />ADDRESS OF <br />ADDITIONAL <br />INTEREST <br />City of Santa Ana <br />20 Civic Center Plaza, M-24 <br />Santa Ana, CA 92707 <br />(E)G U 403f (Ed. 9-03) UNIFORM ADDITIONAL I NTEREST'S COPY Page 1 of 1 <br />