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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 Insurance 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 /_ �1 <br />Named Insured qa&t eI'Y{'CQJ{� City of Santa Ana AwaW <br />Countersigned By <br />(Authorized Representative) <br />IN CONSIDERATION OF THE PREMIUM PREVIOUSLY CHARGED, IT IS HEREBY UNDERSTOOD AND AGREED <br />THAT THE POLICY IS AMENDED AS FOLLOWS: <br />TIIE SCHEDULE OF LOCATIONS IS HEREBY AMENDED TO READ FOR NO FURTHER CHARGE: <br />LOCATION#1: 1ST STREET/MAINST, SANTA ANA, CA 92701 <br />LOCATION92: 3RD STRFETI MAIN ST. SANTA AAA, CA 92701 <br />LOCATION#3: 4TH STREET LOCATION#: /MAIN ST. SANTA ANA, CA 92701 <br />LOCATIONW: 3RD STRFET/BROADPIA Y, SANTAANA, CA 92701 <br />LOCATION45: 4THSTREET/BROADPEA I; SANTAANA, CA 92701 <br />LOCATION96: 5THSTREET/BROADWAY, SANTA ANA, CA 92701 <br />LOCATION#7: 4TH STREET/BUSH, SANTAANA, CA92701 <br />LOCATION#8: 1 ST STREET/BRISTOL STREET, SANTA ANA, CA 92701 <br />LOCATION#9: 17TH STREET/ BRISTOL STRis'ET, SANTA ANA, CA 92701 <br />LOCATION#10: AIACARTHUR BLVD/BRIST'OL STREET, SANTA ANA, CA 92701 <br />LOCATION#11: MAINSTREFT/MCFADDENAVE., SANTAANA, CA 92701 <br />LOCATION912: HARBOR BLVD/MCFADDENAVF., SANTA ANA, CA 92701 <br />LOCATION#13: GRAND/DYER, SANTAANA CA 92701 <br />LOCATION#14: 17TH STREET/CENTRE ON 177'1i, SANTA ANA, CA 92701 <br />LOCATION#15: IST STREET/DOPVNFTOWNPLAZA, SANTAANA, CA 92701 <br />LOCATION916: MAIN/NIASHINGTON, SANTAANA, CA 92701 <br />LOCATION#17: RAITT/MACARTHUR BLVD., SANTA ANA, CA 92701 <br />LOCATION918: GRFENHILLF/ALTON, SANTAANA, CA 92701 <br />LOCATION#19: AlfATAT STREET/WARALF,R AVF., SANTA ANA. CA 92701 <br />LOCATION#20: PLOWER STREE'I'/BISHOP, SANTAANA, CA 92701 <br />All other terms and conditions remain unchanged. <br />Imhom 12/4/2020 <br />RiskManaganenEDWIm <br />i g, REVIEWED& APPROVED BY: <br />Risk Management Analyst <br />__ _777777,m, <br />