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GENERAL CHANGE ENDORSEMENT <br />This endorsement changes the policy effective on the inception date of the policy unless another date is indicated below: <br />Name of Insuranee Company(ies) <br />Atain Specialty Insurance Company Atain Spec Insurance Company 100.0% GenLiab <br />Inception Date Expiration Date <br />11/9/2020 1/31/2021 <br />Endorsement Effective Policy Number Endorsement # <br />11/9/2020 CIP423084 I <br />Named Insured �y� ���(py/�/� <br />City of Santa Ana .7lww# gall""'^' 'J" <br />Countersigned By <br />(Authorized Representative) <br />IN CONSIDERATION OF THE PItENHUM PREVIOUSLY CHARGED, IT IS HEREBY UNDERSTOOD AND AGREED <br />THAT THE POLICY IS AMENDED AS FOLLOWS: <br />THE SCHEDULE OF LOCATIONS IS HEREBY AMENDED TO READ FOR NO FURTHER CHARGE: <br />LOCATION#1: I ST STREET/MAIN ST., SANTA ANA, CA 92701 <br />LOCATION#2: 3RD STREET/h4AIN ST. SANTA ANA, CA 92701 <br />LOCATION93: 4TH STREET LOCATION#: /MAIN ST. SANTA ANA, CA 92701 <br />LOCATION#4: 3RD STREET/BROADWAI' SANTA ANA, CA 92701 <br />LOCATION#5: 47H STREET/BROADWAI', SANTA ANA, CA 92701 <br />LOCATION#6: STHSTREET/ BROADWAY, SANTA ANA, CA92701 <br />LOCATION#7:4TH STREET/BUSH, SANTA ANA, CA 92701 <br />LOCATION#8: I ST STREET/BRISTOL STREET, SANTA ANA, CA 92701 <br />LOCATION0: 17 11 STRTET/BRISTOL STREET, SANTA ANA, CA 92701 <br />LOCATION#10: MACARYIIUR BLVD/BRISTOL STREET, SANTA ANA, CA 92701 <br />LOCATIONt11 ]:MAIN STREET/MCFADDENAVE., SANTA ANA, CA 92701 <br />LOCA770N#12: HARBOR BLVDMCFADDENAVE., SANTA ANA, CA 92701 <br />LOCATION#13: GRAND/DIER, SANTA ANA, CA 92701 <br />LOCA7'ION#14: 17TH STREET/CENTRE ON 17T7-1, SANTA ANA, CA 92701 <br />LOCATION415: 1ST STREET/DOWNTOTPATPl,1ZA, SANTAANA, CA 92701 <br />LOCATIONW 6: MAINIWASHINGTON, SAN'1 A ANA, CA 92701 <br />LOCATION#17: RAITT/MACARTFIUR BLVD., SANTAANA, CA 92701 <br />LOCATION418: GREENVILLEIALTON, SANTA ANA, CA 92701 <br />LOCATION919: MAIN STRFF,T/WARNF,R APE., ,SANTA ANA, CA 92701 <br />LOCATION#20: FLOWER STREET/BISHOP, SANTA ANA, CA 92701 <br />All other terms and conditions remain unchanged. <br />knhom 12/4/2020 <br />RiskManap mtDlWsian <br />F� <br />� I� RtVIEWEO F, APPRWFD BY' <br />�� ct• r e P, va <br />Risk Managelmnt Analyst <br />