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Effective date of this Endorsement: 11/30/2009 <br />This Endorsement Is attached to and forms a part of Policy Number: V15PR3090201 <br />Insurer: Beazley Insurance Company, Inc. <br />NOTICE OF CANCELLATION TO CERTIFICATE HOLDER <br />This endorsement modifies Insurance provided under the following: <br />AFB A&E MEDIA TECH' POLICY <br />In consideration of the premium charged for the Polley, it is hereby understood and agreed that in addition <br />to the provisions of Clause XVII CANCELLATION AND NONRENEWAL B., if this policy is cancelled by <br />the Insurer, other than for non-payment of premium, the Insurer will provide 30 days written notice to the <br />following party(ies): <br />City of Santa Ana, Its Officers, <br />Employees, and Representatives <br />All other terms and conditions of this Palley remain unchanged. <br />Autho zed Representative <br />BICAE00411105 <br />Page 1 of 1 <br />CHAT NO.. 5230999 (AVC) Betty Tran 11/30/2009 9,43:24 AM Page 2 of 3