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PROFESSIONAL LIABILITY INSURANCE ENDORSEMENT <br />Agreement to Provide Notice of Cancellation <br />In consideration of the premium paid, it is agreed that if the policy to which this endorsement is attached is <br />cancelled before the expiration date, we will endeavor to mail notice to the person or entity named below. <br />However, failure to'mail such notice shall impose no obligation or liability of any kind upon the company, <br />its agents or representatives. <br />Person or Entity Name and Address: City Of Santa Ana Risk Management Division <br />20 Civic Center Plaza 4th Floor <br />Santa Ana, CA 92072 <br />This endorsement is a part of your policy and takes effect on the effective date of your policy, unless <br />another effective date is shown below. All other provisions of the policy remain unchanged. <br />Must Be Completed <br />ENDT. NO. POLICY NO. <br />1 697816243 <br />G-123828-B(7/2001) <br />Complete Only When This Endorsement Is Not Prepared with the Policy <br />Or Is Not to be Effective with the Policy <br />ISSUED TO ENDORSEMENT EFFECTIVE DATE <br />Luis Martinez <br />12/11/20 <br />uae mariage�neni umamt <br />Rener�o&PAPPPkRRRovm BY: <br />r �j �q�m�tht R. Yt" <br />R[vkMvtt�gemzrrt�Naf�st <br />