Laserfiche WebLink
POLICY NUMBER INSURED NAME AND ADDRESS <br />C 4034371571 IPS GROUP, INC <br />5601 OBERLIN DRIVE <br />SUITE 100 <br />SAN DIEGO, CA 92121 <br />POLICY CHANGES <br />015115A allMS - NOTICE OF CANCELLATION <br />This Change Endorsement changes the Policy. Please read it carefully. <br />This Change Endorsement is a part of your Policy and takes effect on the <br />effective date of your Policy, unless another effective date is shown. <br />The following Form(s) has (have) been added: <br />Form #: G151151A <br />Title: CHANGES-NOTICE OF CANCELLATION OR MATERIAL COVERAGE CHANGE <br />30 DAY NOTICE FOR CANCELLATION <br />10 DAY NOTICE FOR NON-PAYMENT OF PREMIUM <br />THE CITY OF SANTA ANA,ITS OFFICERS, AGENTS, VOLUNTEERS, EMPLOYEES, <br />AND REPRESENTATIVES <br />20 CIVIC CENTER PLAZA <br />SANTA ANA, CA 92701 <br /> <br /> <br />C <br />S! <br />I <br />?i <br />EM_ <br />i <br />V40W.04r. <br />Chwnnm of ft Nr® <br />G-56015-B (ED. 11/91) <br />APPROVED AS TO FORM <br />LISA E. STORCK <br />Assistant City Attorney <br />31--3