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THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br /> POLICY CHANGES <br /> Policy Change <br /> Number 11 <br /> POLICY NUMBER POLICY CHANGES COMPANY <br /> EFFECTIVE <br /> NXT9W7H7TH-02-GL 08/06/2025 State National Insurance Company, Inc. <br /> NAMED INSURED AUTHORIZED REPRESENTATIVE <br /> Ivan Marquez <br /> Chanel Torrez City of Santa Ana risk management Division <br /> 1570 E Edinger Ave Ste 12 <br /> Santa Ana, CA 92705 <br /> Ann Ryan <br /> COVERAGE PARTS AFFECTED <br /> Commercial General Liability Coverage Part <br /> CHANGES <br /> SEE ATTACHED SCHEDULE <br /> Return Total $0.00 <br /> Authorized Representative Signature <br /> IL 12 01 11 85 Copyright, Insurance Services Office, Inc., 1983 Page 1 of 2 ❑ <br /> Copyright, ISO Commercial Risk Services, Inc., 1983 <br />