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Starr Indemnity & Liability Company <br />Dallas, TX 1-866-619-2.522 <br />Policy Number: 1000198198201 Effective Date: July 21, 2020 at 12;01 A.M. <br />Named Insured: West Coast Arborists, Inc. <br />This endorsement modifies the insurance coverage form(s) listed below that have been purchased by you and <br />evidenced as such on the Declarations page. Please read the endorsement and respective policy(ies) carefully. <br />Auto Dealers Coverage Form, Business Auto Coverage Form, Business Auto Physical Damage <br />Coverage Form, Commercial General Liability Coverage Form, Contractor's Pollution Liability <br />Coverage Form, Electronic Data Liability Coverage Form, Excess Liability Policy Form, Garage <br />Coverage Form, Liquor Liability Coverage Form, Motor Carrier Coverage Form, Owners And <br />Contractors Protective Liability Coverage Form -Coverage For Operations Of Designated Contractor, <br />Pollution Liability Coverage Form Designated Sites, Products/Complated Operations Liability <br />Coverage Form, Product Withdrawal Coverage Form, Professional Liability Coverage Form, Railroad <br />Protective Liability Coverage Form, Site Pollution Liability Coverage Form, Special Protective And <br />Highway Liability Policy -Now York Department Of Transportation, Truckers Coverage Form, <br />Underground Storage Tank Policy Designated Tanks, <br />it is agreed that in the event the Insurer cancels the policy for any reason other then non-payment of premium, the <br />Insurer will give notice of cancellation to the following certificate holder(s): <br />GHEDULE <br />(Certificate Molder, contact name, address) <br />City of Santa Ana Francine Villareal RMDCc_Samq-Ana.oro <br />Risk Management Division <br />20 Civic Center Plaza, 41" Floor <br />Santa Ana, GA 92701 <br />Thirty (30) Day's Notice of Cancellation and 10 Days Non -Payment <br />The Insurerwill endeavor to provide notice of cancellation to the certificate holder(s) listed in the Schedule by email. <br />The Insurer agrees to provide such notice of cancellation at a rate of $10 per scheduled certificate holder up to a <br />maximum of $25,000 for this policy. <br />This notification of a pending cancellation of coverage is intended as a courtesy only. The Insurer's failure to provide <br />such notice will neither extend the policy cancellation nor negate cancellation of the policy; nor will this failure result <br />in obligation or liability of any kind upon the Insurer, its agents or representatives. <br />This endorsement does not affect, in any way, coverage provided under this policy, the cancellation of this policy or <br />the effective date of cancellation. <br />All other terms and conditions of this Policy remain unchanged, <br />REVIEWED & APPROVED <br />By Risk I1'fA.VAInF41r'Nr DivisiON <br />SIIL-101 (10/14) J 2 i 24m Page 1 of 1 <br />Copyright}Sterr l a t C n. rights reserved. <br />Includes oopyrlghted n 'with Its permission. <br />i AIVI, NL L-Ay. <br />