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Policy Number: Ps" 0009419 PSB0909419 PSW0005179 RLI Insurance Company <br />Named Insured ohn R°bins^^ <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br />RLIPack° NOTICE OF CANCELLATION OR NONRENEWAL — <br />DESIGNATED PERSON OR ORGANIZATION <br />Schedule <br />Designated Person or Organization: <br />City of Santa Ana <br />Email Address: <br />US Mail Address: <br />Risk Management Division <br />20 Civic Center Plaza, 4th Floor <br />Santa Ana, CA 92701 <br />If we cancel or chose to nonrenew this policy for any reason other than nonpayment of premium we will provide written <br />notice at least (3� days before the effective date of the cancellation or nonrenewal to the designated person or <br />organization in the above schedule. <br />Such notice will be sent via the US mail address or E-mail address listed above. Proof of mailing or e-mailing will be <br />sufficient proof of notice. <br />PPK 2108 05 11 <br />Risk Meagamad y*I Milsr � <br />Risk Management Analyst <br />