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C H U B BPolicy Conditions <br />Endorsement <br />Policy Period DECEMBER 27, 2019 TO DECEMBER 27.2020 <br />Effective Date DECEMBER 27, 2019 <br />Policy Number 3589-25-15 WCE <br />Insured NILA, INC. <br />Name of Company FEDERAL INSURANCE COMPANY <br />Date Issued OC`fOBER 9, 2019 <br />This Endorsement applies to the fallowing forms: <br />COMMON POLICY CONDITIONS <br />:«, sa axss�wxx�uexww,u marsmaa.�aw;,ww:a«. - �-a4 _ c n,:.rei-ram .rx';attcas,»xweaa mx. s. :.wrovu�n:er:,.xaxiw.I <br />Under Conditions, the following condition is added. <br />Conditions <br />Notice Of Cancellation <br />When we cancel this policy for any reason, other than non-payment of prenmmn, we will notify <br />To Scheduled Persons <br />person(s) or organizaticn(s) shown in the Schedule at least 30 days in advance of the cancellation <br />Or Organizations When <br />date. <br />We Cancel <br />Any failure by us to notify such person(s) or organization(s) will not: <br />• impose any liability or obligation of any kind upon us; or <br />• invalidate such canccBation. <br />Schedule <br />Person(s)orOrgaoization(s): GBCINTERNATIONAL BANK ISAOA <br />Address: 5670 WILSHIRE.BLVD SUITE 1780 <br />LOS ANGELES, CA 90036 <br />Person(s) or Organization(s): CIl'Y OF SANTA ANA, RISK MANAGEMENT, rl"S OFFICERS, <br />EMPLOYEES, AGENTS, REPRESENTATIVES, AND <br />VOLUNTEERS <br />Address: 20 CIVIC CENTER PLAZA, 4Ttl 1LOOR <br />SANTA ANA, CA 92702 <br />Notice 01 Cancellation To Scheduled Persons Or Organizations <br />Policy Conditions (Except Non -Payment Of Premium) <br />Form 80-02-9779 (Ed. 3-11) Endorsement <br />continued <br />Page 1 <br />san3M 119-20 cWFL 6 OMB I Lucy F.Ie fa 1 2/1912020 9:19:11 AM IPST) I eag2 1 oe 1 <br />