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THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br />POLICY CHANGES <br />Policy Change <br />Number 01 <br />POLICY NUMBER <br />POLICY CHANGES <br />COMPANY <br />EFFECTIVE <br />NXT9W7H7TH-00-GL <br />10/07/2022 <br />State National Insurance Company, Inc. <br />NAMED INSURED <br />AUTHORIZED REPRESENTATIVE <br />Ivan Marquez <br />City of Santa Ana risk management Division <br />Eric Hamden <br />1570 E Edinger Ave Ste 12 <br />Santa Ana, CA 92705 <br />COVERAGE PARTS AFFECTED <br />Commercial General Liability Coverage Part <br />CHANGES <br />SEE ATTACHED SCHEDULE <br />Additional Total <br />$5.00 <br />Authorized Representative Signature <br />IL 12 01 1185 Copyright, Insurance Services Office, Inc., 1983 <br />Copyright, ISO Commercial Risk Services, Inc., 1983 <br />_ wJeltougsne3oWdai <br />REVIEWED& NPROVD)Ift <br />Tay J" <br />® Rish Managemen[PolaIV <br />