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Certificate of Insurance <br />Policy Number: 853614 <br />Subject to all policy terms, conditions, exclusions and endorsements of the policy. <br />The City of Santa Ana is listed as an Additional Insured with a 30 Day Notice of Cancellation but only per the <br />terms and conditions of the endorsements generated and subject to all policy terms, conditions, exclusions, and <br />endorsements. <br />SURPLUS LINES NOTICE TO POLICYHOLDER - PLEASE SEE ATTACHED <br />i / <br />/' '� r <br />Lawrence T.P. Molloy <br />AS TO FORM <br />Attorney <br />binders-138 <br />