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POLICY NUMBER: 6809001177716 ISSUE DATE: - - <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br />DESIGNATED ENTITY - NOTICE OF <br />CANCELLATION/NONRENEWAL PROVIDED BY US <br />This endorsement modifies insurance provided under the following: <br />ALL COVERAGE PARTS INCLUDED IN THIS POLICY <br />SCHEDULE <br />CANCELLATION': Number of Days, Notice of Cancellation: <br />NONRENEWAL: Number of Days Notice of Nonrenewal: <br />l/ <br />I <br />PERSON OR <br />ORGANIZATION: <br />City of SantaAna, its officers, emppoyees, agents <br />ADDRESS:. <br />20 Civic Center Plaza <br />Santa Ana, CA 92702 <br />PRGVi'SIONS: <br />A. If we cancel this policy for any statutorily permit- B. If we decide to not renew this policy for any statu- <br />ted reason other than nonpayment of premium, torily permitted reason, and a number of days is <br />and a number of days. Is shown for cancellation In shown for nonrenewal in the schedule above, we <br />the schedule above, we will mall notice of cancei- will mail notice of the nonrenewal to the person or <br />ation to, the person or organization shown in the organization shown in the schedule above, We <br />schedule above. We will mall such notice to the will mail such notice to the address shown in the <br />address shown in the schedule above at least the schedule above at least the number of days <br />number of days shown for cancellation In the shown for nonrenewal in the schedule above be - <br />schedule above before the effective date of can- fore the. expiration date. <br />cellation, <br />IL T4 00 12 09 C 2009 The Travelers tndemndy Company Page 1 of 1 <br />