Laserfiche WebLink
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT <br />CAREFULLY. <br />ENDORSEMENT # <br />This endorsement, effective 12:01 A.M. 4/01/2014 forms a part of Policy <br />No. CA 7030195/CA 7030196 issued to Bureau Veritas North America by National <br />Union Fire Insurance Company of Pittsburgh/Granite State Insurance Company <br />(The above "attaching clause "need be completed only when this endorsement is issued subsequent to the preparation ofthe pollcy). <br />NOTICE OF CANCELLATION AND NONRENEWAL TO CERTIFICATE HOLDER <br />This endorsement modifies insurance provided under the following: <br />COMMERCIAL GENERAL LIABILITY COVERAGE FORM <br />BUSINESS AUTO COVERAGE FORM <br />TRUCKERS COVERAGE FORM <br />GARAGE COVERAGE FORM <br />We shall provide written notice in accordance with state law in the event this policy is <br />cancelled or nonrenewed, for any reason other than non payment of premium, to those <br />entities set out in the schedule below. <br />Schedule <br />Notice will be mailed to: City of Santa Ana, 20 Civic Center Plaza (M -30), Santa Ana, CA <br />92702 -1988 <br />To the attention o£ Clerk of the City Council <br />Contract, Permit or Job Number. (E HS) Program Management; 2509.14.27681. <br />82541 (6/03) <br />