Laserfiche WebLink
CANCELLATION ENDORSEMENT <br />Named Insured Endorsement Number <br />Paul Maurer ribs Paul Maurer Shows <br />Policy Symbol Policy Number Policy Period Efizive bate or Endorsement <br />G20496496 1 04/0112018to 04/01/2019 <br />Issued By (Name of Insurance Company) <br />ACE American Insurance Company (CHUBB) <br />Insert the policy number. The remainder of the information is to be -mpleted only' h.n this endorsement is issued subsequent to the preparation of the policy <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br />This endorsement modifies insurance provided under the following: <br />COMMERCIAL GENERAL LIABILITY COVERAGE FORM <br />Paragraph 2. of CANCELLATION (Common Policy Conditions) is replaced by the following: <br />2. We may cancel this Coverage Form by mailing or delivering to the first Named Insured and the person or <br />organization shown in the Schedule written notice of cancellation at least: <br />a. 30 days before the effective date of cancellation if we cancel for nonpayment of premium; or <br />b. 30 days before the effective date of cancellation if we cancel for any other reason. <br />SCHEDULE <br />Name of Person or Organization; <br />City of Santa Ana, Parks <br />Recreation & Comm Services Agency <br />26 Civic Center Plaza <br />Santa Ana, CA 92701 <br />LD-5W26 (8/95) <br />i� <br />Au or'zed Agent <br />Page 1 of 1 <br />PF'�,S <br />