Laserfiche WebLink
a <br />� s <br />G- 300660 -A <br />(Ed. 06/08) <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br />CHANGES - NOTICE OF CANCELLATION OR MATERIAL CHANGE <br />This endorsement modifies insurance provided under the following: <br />BUSINESS AUTO COVERAGE FORM <br />GARAGE COVERAGE FORM <br />TRUCKERS COVERAGE FORM <br />This endorsement changes the policy effective on the inception date of the policy unless another date is indicated <br />below: <br />Endorsement Effective <br />Policy Number <br />1 /1 /13 <br />1002379701 <br />Named Insured <br />Countersigned by <br />Dukes Root Control Inc <br />(Authorized Representative) <br />In the event of cancellation or material change that reduces or restricts the insurance afforded by this Coverage Part, <br />we agree to mail prior written notice of cancellation or material change to: <br />SCHEDULE <br />1. Number of days advance notice: 30 <br />2. Name: City of Santa Clara <br />3. Address: 220 South Daisy Ave <br />Santa Ana, CA 92703 <br />G- 300660 -A Page 1 of 1 <br />(Ed. 06/08) <br />