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7-ate° O -7 - ( L <br />THIS F,NDORSEMENT CHANGES THE POLICY. PLEASE READ IT <br />CAREFULLY. <br />ENDORSEMENT <br />This endorsement, effective 12:01 A.M. 9-1-10 forms apart of Policy <br />No. GL 436 08 71 issued to ROYAL STREE I' CONMUNICATIONS, LLC <br />By Insurance Company of The State orPennsylvanis <br />roe abarr "attuchirrg cdausr " mrd be co+rrrlued arty u he» dW endorsemew is issurd srrbsrgaem to the pngwarim of dv poNcy). <br />NOTICE OF CANCELLATION AND NONRFNEWAL TO CERTIFICATE 11OLDER <br />This endorsement modifies insurance provided under the following: <br />COMMERCIAL GENERAL LLkBILITY COVERAGE FORM <br />BUSINESS AUTO COVERAGF FORM <br />TRUCKERS COVERAGE FOF-M <br />GARAGE COVERAGE FORM <br />We sball provide written notice in accordance with state law In the event this policy is <br />cancelled or nvnrrnewed, for any reason other than non payment of premium, to those <br />entities set out in the schedule below. <br />Notice » ill be mailed to: <br />To the attention of: <br />Schedule <br />City of Santa Ana <br />20 Civic Center Plaza <br />Santa Ana, CA 92701 <br />Silvia Cuevas <br />Contract, Permit or Job Number : Parks, Recreation and Community Services Agency <br />82541 {tit): ) <br />