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Policy Number: 711-01-37-43-0003 <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br />Notice of Cancellation to Designated Certificate Holder <br />A. If we cancel this policy for any reason other than nonpayment of premium, we will endeavor to provide notice <br />of such cancellation to the certificate holder(s) at the address(s) shown in the schedule below when notice of <br />cancellation Is sent to the first Named Insured. In no event will the timing of notice to a certificate holder <br />exceed the timing of notice to the first Named Insured. <br />B. Our failure to provide notice of cancellation to a certificate holder scheduled below will not amend or extend <br />the effective policy cancellation date or negate policy cancellation. Notice of cancellation is provided solely <br />as a courtesy for the convenience of the first Named Insured and does not constitute a prerequisite to <br />effective policy cancellation or confer any rights whatsoever on the certificate holder(s) scheduled below. <br />SCHEDULE <br />Name of Certificate Holder and Addresd <br />THE CITY OF ELKGROVE, ITS OFFICERS, <br />EMPLOYEES, BOARDS, COMMISSIONS AND <br />C/O EBIX BPO <br />PO BOX 257 <br />PORTLAND, MI 48875-0257 <br />*VOLUNTEERS <br />THE CITY OF FRESNO, ITS OFFICERS, <br />OFFICIALS, EMPLOYEES, AGENTS AND <br />2600 FRESNO ST RM 1059 <br />FRESNO, CA 93721-3620 <br />*VOLUNTEERS <br />THE CITY OF LAS VEGAS, ITS OFFICERS, <br />EMPLOYEES AND AGENTS <br />C/O INSURANCE TRACKING SERVICES <br />PO SOX 21919 <br />LONG BEACH, CA 90801-4919 <br />THE CITY OF SANTA ANA <br />20 CIVIC CENTER PLAZA <br />SANTA ANA, CA 92701-4058 <br />THE COUNTY OF PLACER <br />C/O EBIX BPO <br />PO BOX 257 <br />PORTLAND, MI 48875-0257 <br />*ITS OFFICERS, AGENTS, EMPLOYEES, AND VOLUNTEERS <br />REF #103-32995 <br />VIL 229 06 12 Copyright 2012, OneBeacon Insurance Group LLC Page 1 of 1 <br />E -INSURED <br />