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POLICY NUMBER: 6809601177714 ISSUE DATE: - <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br />DESIGNATED ENTITY - NOTICE OF <br />CANCELLATIONMONRENEWAL PROVIDED BY US <br />This endorsement modifies insurance provided under the following: <br />ALL COVERAGE PARTS INCLUDED IN THIS POLICY <br />SCHEDULE <br />CANCELLATION: Number of Days Notice of Cancellation: <br />NONRENEWAL: Number of Days Notice of Nonrenewal: <br />PERSON OR <br />ORGANIZATION: <br />City of Santa Ana, its officers, employees, agents <br />ADDRESS: <br />20 Civic Center Plaza <br />Santa Ana, CA 92702 <br />TO FOOL <br />P, E. STOA otnev <br />city <br />�Ststant _�' `'� <br />PROVISIONS: l _I / <br />A. if we cancel this policy for any statutorily permit- B. If we decide to not renew this policy for any stafu- <br />ted reason other than nonpayment of premium, torily permitted reason, and a number of days is <br />and a number of days is shown for cancellation In shown for nonrenewal in the schedule above, we <br />the schedule above, we will mail notice of cancel- will mail notice of the nonrenewal to the person or <br />lation to the person or organization shown In the organization shown In the schedule above We <br />schedule above We will mall such notice to the will mail such notice to the address shown in the <br />address shown in the schedule above at least the schedule above at least the number of days <br />number of days shown for cancellation to the shown for nonrenewal in the schedule above be- <br />schedule above before the effective date of can- fore the expiration date. <br />cellation. <br />IL T4 00 12 09 0 2009 The Travelers Indemnity Company Page 1 of 1 <br />