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WC 4641353 (AOS) <br />99 06 34 <br />WC <br />NOTIFICATION TO OTHERS OF CANCELLATION, NONRENEWAL OR REDUCTION OF <br />INSURANCE ENDORSEMENT <br />This endorsement is used to add the following to Part Six of the policy. <br />X&A= <br />ARKWAIIIJOR <br />A. If we cancel or non-renew this policy by written notice to you for any reason: other than nonpayment <br />of premium, we will mail or deliver a copy of such written notice of cancellation or non-renewal to <br />the name and address corresponding to each person or organization shown in the Schedule below. <br />Notification to such person or organization will be provided at least 10 days prior to the effective date <br />of the cancellation or non-renewal, as advised in our notice to you, or the longer number of days <br />notice if indicated in the Schedule below. <br />B. If we cancel this policy by written notice to you for nonpayment of premium, we will mail or deliver a <br />copy of such written notice of cancellation to the name and address corresponding to each person or <br />organization shown in the Schedule below at least 110 days prior to the effective date of such <br />cancellation. <br />C. If coverage afforded by this policy is reduced or restricted, except for any reduction of Limits of <br />Liability due to payment of claims, we will mail or deliver notice of such reduction or restriction to the <br />name and address corresponding to each person or organization shown in the Schedule below. <br />Notification to such person or organization will be provided at least 10 days prior to the effective date <br />of the reduction or restriction, or the longer number of days notice if indicated in the Schedule <br />below. <br />D. If notice as described in Paragraphs A., B. or C. of this endorsement is mailed, proof of mailing will <br />be sufficient proof of such notice. <br />SCHEDULE <br />. ........ . - ------ - <br />Name and Address of Other Person(s) / Organization(s) Number of <br />Days Notice: <br />City of Santa Ana <br />IE <br />220 S. Daisy Avenue, M-85 <br />Santa Ana CA 92703 <br />Ali other terms and conditions of this policy remain unchanged. <br />This endorsement changes the policy to which it is attached and is effective on the date issued unless otherwise stated, <br />(The information below is required only when this endorsement is issued subsequent to preparation of this policy} <br />Endorsement Effective Date Poky Number Endorsement No. Prem, <br />Insurance Company <br />Attachment Code: D493905 <br />Certificate U 11363208 <br />