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POLICY NUMBER INSURED NAME AND ADDRESS <br />P 2093563501 MGT OF AMERICA, INC. <br />2123 CENTRE POINT BLVD <br />TALLAHASSEE, FL 32308 -4930 <br />POLICY CHANGES <br />ENDORSEMENT EFFECTIVE S/20/13 <br />This Change Endorsement changes the Policy. Please road it carefully. <br />This Change Endorsement is a Part of your Policy and takes affect on the <br />effective date of your Policy, unless another effective date is Shona. <br />G- 140327 -B <br />(Ed. 07/11) <br />This form has been added to the policy: <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br />CANCELLATION BY US <br />NOTICE TO DESIGNATED PERSONS <br />This endorsement modifies insurance provided under the following: <br />THE COMMON POLICY CONDITIONS OF THE BUSINESS AUTO COVERAGE FORM <br />The following is added to Paragraph A. CANCELLATION: <br />A. 7. In the event we cancel your policy in accordance with your <br />policy's terms and conditions, we will mail written notice of <br />cancellation to the designated persons named below within the <br />stated time frames. <br />a. 10 days before the effective date of cancellation if we <br />cancel for non - payment of premium, or <br />b. 30 days before the effective date of cancellation if we <br />cancel for any other reason. <br />Designated Person(s) <br />1.City of Bakersfield, Finance Department <br />2.City of Fort Bragg <br />3.City of LaMirada <br />1� <br />.City of Santa Ana <br />5.City of TurlocK, CA <br />NEW <br />Chk"n of BM Bond <br />G- 56015 -B (ED. 11/91) <br />Address <br />City Hall North <br />1600 Truxton Avenue <br />Bakersfield, CA 93301 <br />416 N. Franklin Street <br />Fort Bragg, CA 95437 <br />13700 LaMirada Blvd <br />LaMirada, CA 90638 <br />20 Civic Enter Plaza (M 30) <br />P.O. Box 1988 <br />Santa Ana, CA 92702 -1988 <br />156 South Broadway, Suite 110 <br />Turlock, CA 95360 -5454 <br />, V0 <br />Jl ORC s« wiry <br />f �AGSisVtant Clty Attorney <br />