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Endorsement # 01 <br />Cancellation By Us <br />49 <br />ZURICH <br />Policy No. <br />Eff. Date of Pol. <br />Exp. Dale nt Pol, <br />Eff. Date of End. <br />Producer No.I MO. Prem <br />Retum Prem. <br />PRA 9699063-02 <br />05/10/2014 <br />05/10/2015 <br />12/17/2014 <br />78293000 1 N/A <br />N/A <br />Named Insured and Mailing Addresst <br />Government Staffing Service, Inc. <br />700 Seacoast Drive <br />Suite 102 <br />Imperial Beach, CA 91932 <br />Producer: <br />World Wide New York Insurance Services, Inc. <br />68 South Service Road, Suite 235 <br />Melville, NY 11.747 <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br />This endorsement modifies insurance provided by the following: <br />Boiler and Machinery Coverage Form <br />Business Auto Coverage Form <br />Commercial Crime Coverage Form <br />Commercial General Liability Coverage Form <br />Commercial Inland Marine Coverage Form <br />Commercial Property Coverage Form <br />Farm Coverage Form <br />Garage Coverage Form <br />Liquor Liability Coverage Form <br />Motor Carrier Coverage Form <br />Pollution Liability Coverage Form <br />Products/Completed Operations Liability Coverage Form <br />Truckers Coverage Form <br />SCHEDULE <br />Number of Days' Notice: 30 <br />City of Santa Ana <br />20 Civic Center Plaza <br />Santa Ana, CA 92701 <br />(If no entry appears above, information required to complete this Schedule will be shown in the Declarations as applicable to this <br />endorsement.) <br />For any statutorily permitted reason other than nonpayment of premium, the number of days required for notice of cancellation, as <br />provided in paragraph 2, of either the CANCELLATION Common Policy Condition or as amended by an applicable state cancellation <br />endorsement, is increased to the number of days shown in the Schedule above, <br />Signed by: 1 2- f7 _ <br />Authorized ep sentative Date C <br />U -GU -298 -BCW (04-94) <br />Page I of 1 <br />