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M1 <br />TRAVELERS J� One Tower Square, Hartford, Connecticut 06183 <br />INSURING COMPANY: TRAVELERS PROPERTY CASUALTY CO. OF AMERICA <br />NAMED INSURED: UTILITY ASSOCIATES, INC. <br />POLICY NUMBER: <br />POLICY EFFECTIVE DATE: <br />POLICY EXPIRATION DATE: <br />ISSUE DATE: <br />PREMIUM: <br />ZLP-15P6297A-15-15 <br />08/01/15 <br />04/04/16 <br />$0 <br />CHANGE <br />Effective from 03/10/16 at the time of day the policy becomes effective. <br />THIS INSURANCE IS AMENDED AS FOLLOWS: <br />ILT405 (03/11) Designated Entity - Notice of Cancellation Provided By Us is added <br />for the following entity: <br />Santa Ana Police Department <br />60 Civic Center Plaza (M-97) <br />P.O. Box 1988 <br />Santa Ana, CA 92702 <br />All other terms and conditions remain the same. <br />NAME AND ADDRESS OF AGENT OR BROKER Countersigned by <br />PRITCHARD & JERDEN INC <br />ONE ATLANTA PLZ STE 2000 <br />950 E PACES FERRY RD NE <br />ATLANTA GA 30326 <br />DATE: <br />Office: TAMPA -DALE MABRY <br />IL TO 07 09 87 m 1987 The Travelers Indemnity Company. All rights reserved. Page 1 of <br />