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NOTICE TO OTHERS ENDORSEMENT - SPECIFIC PARTIES <br />Namedlnsursd - <br />Endorsormt. Number- <br />Comoest Corporation <br />P611cy SymWl <br />G7144750A - <br />Policy PonoU <br />'Ermoth,eeatrs e.of Endoement <br />XS4 <br />.,.. <br />1211119-to 12/112d <br />.., <br />Issued By tNmeofansdrence Gam puny) . <br />ACE American Insurance Cornpany <br />msert me policy pummel. in a remmnonr of meMrorma non is tobo complied only When this engprsommt hi kowud subseg4ient to the prepe elipn. of <br />the pollcy, .. <br />THIS ENDORSEMENT CHANCES THE POLICY. PLEASE READ IT CAREFULLY, <br />Ay If we cancel the Policy prior to its expiration date by notice to you or the first Named insured for'any <br />.reason other than nonpayment of prenliu r, We will endeavor, as set out below, to send written notice <br />of cancellation, Via such electronic- or other form of notification as we determine, to the persons yr <br />organizations listed In the schedule set out below (the "Schedule"), You or your representative must <br />provide us with both the physical and e-mail address of such persons or organizations, and we will <br />utilize such e-mall address or physical address that you or your representative provided to us on such <br />S. We will endeavor to send or deliver :such notice to the a -mail address or physical address <br />corresponding to each person `or organization indicated in the Schedule at -least 30 days prior to the <br />Cancellation date applicab[a to the Policy. <br />C. The notice refere%nced In this endorsement is intended only to be a courtesy notification to the <br />person(s) or organizabon(s) named In the Schedule in the event of a pending cancellation of <br />coverage. We have he legal obligation of any kind to any such person(s) or orgaiization(s)c Our <br />failure to provide advance notification of cancellation to the persons) or organization(s) shown in the. <br />Schodul.e shall impose no obligation or liability of any kind uporr us, our agents or representatives, will <br />not extend. any Policy cancellation date and will not negate any cancellation of the Policy_ <br />D. We are not responsible for, verifying any information provided to us in any ,Schedule, nor are we <br />.responsible for any incorrect information that you or your representative provide to Ids. if you be youe <br />representative does not provide us with the information necessary to complete the Schedule, wefiave <br />no responsibility .for taking any action under this endorsement. In addition, if neither you nor your <br />reprosentative provides- us with e-mall and physical address information with respect to a particular <br />person or organizatfon, then we shall have no responsibility for taking action with regard to such <br />E, We may arrange with your representative to send such notice in. the event; of any such cancellations.: <br />F. You will cooperate with us in providing, or in causing your representative to provide, the e-mail. <br />address and physical address of the persons or organizations listed to the Schedule. <br />G. This endorsement does not apply In the event that you cancel the Policy, <br />SCHEDULE <br />Name of Certificate Holder <br />E-Mali Address <br />Physical Address <br />City of Santa Ana <br />Risk Management Division <br />20 Civic Center Plaza, 4th ftoor <br />Santa Ana, CA 9M,11 <br />ALL-32688 (01/11 ) <br />P.AMunag0nmtD1vbbn <br />1l Xw p`f //R�EVIEWED&ryAP'PARIoevpmgy):: <br />F Mi Wir.Mt ICW.nPr'M':aC <br />Risk ManagementAnalyet <br />