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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°s 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 �/- �I�--_n� <br />City of Santa Ana w# q(�CCIKnYW l�% <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 />THE SCITEDULE OF LOCATIONS IS HEREBY AMENDED TO READ FOR NO FURTHER CHARGE: <br />LOCATION#1: ISl STREET/MAINS'T, SANTA ANA, CA 92701 <br />LOCATION#2: 3RD STREET/MAIN ST. SANTA ANA, CA 92701 <br />LOCATION#3: 4TII SIREF_T LOCATION#: /MAIN ST. SANTA AAA, CA 92701 <br />LOCATION#4: 310 STREET/BROADTVA Y, SANTAANA, CA 92701 <br />LOCATIONti5: 477ISTREET/BROADWAP, SANTA ANA, CA 92701 <br />LOCATION#6: 5177STREET/BROADWAY, SANTA ANA, CA 92701 <br />LOCATION#7: 4THSTREET/BUSH, SANTA ANA, CA 92701 <br />LOCATIONft8:1ST STREET/BRISTOLSTREET,SANTA ANA, CA 92701 <br />LOCATION#9: 17TH STREET/BRISTOL STREET, SANTA ANA, CA 92701 <br />LOCATION#10: MACARTHUR BLVD/BRIS'1'OL STREET, SANTA ANA, CA 92701 <br />LOCATION#11: MAINSTREET/MCFADDENAVE., SANTAANA, CA 92701 <br />LOCA170N#12: HARBOR BLTI19N1CTADDENAVE, SANTA ANA, CA 92701 <br />LOCATION#13: GRAND/DIER, SANTAANA, CA 92701 <br />LOCATION#14: 17TI7ST121iE'T/CENTRE ON17TH, SANTAANA, CA 92701 <br />LOCATION#15: I ST S'lREETI DOWNTOWNPLAZA, SANTA ANA, CA 92701 <br />LOCATION#16: AQAIN/WASHINGTON, SANTA ANA, CA 92701 <br />LOCATION417: RAITT/MACARTHUR BLVD., SANTA ANA, CA 92701 <br />LOCATION018: GREENVILLE/ALTON, SANTA ANA, CA 92701 <br />T,OCATION#i19: AIL4lN,4TRFET/WARNFR AVE., SANTAANA, CA 92701 <br />LOCATION#20: FLO IVER SI REET/BISHOI , SANTA ANA, CA 92701 <br />All other terms and conditions remain unchanged. <br />knhom 12/4/2020 <br />yyy _ RiskManannn OlWalan <br />a� REVIEWED &APPROVED BY: <br />1aha•a �' (1.l" <br />Risk Management Analyst <br />