**POLICY NO.**
86-68-700

**EFF DATE OF POL.**  
**EFF DATE OF END**  
**AGENCY NO.**  
**ADD'L PREMIUM $**  
**RETURN PREMIUM $**

**Named Insured**

This endorsement is issued by that company named below which is the insurer under the policy designated above issued to the Named Insured and forms a part of said policy as of the effective date hereof at the hour stated in the policy Declarations.

**IT IS AGREED THAT WRITTEN NOTICE OF CANCELLATION, MATERIAL CHANGE OR A REDUCTION IN COVERAGE OF SAID POLICY SHALL BE DELIVERED TO THE CITY ATTORNEY, ROOM 2115, LOS ANGELES CITY HALL, LOS ANGELES, CALIFORNIA THIRTY (30) DAYS IN ADVANCE OF THE EFFECTIVE DATE THEREOF.**

**ZURICH INSURANCE COMPANY**
**AMERICAN GUARANTEE AND LIABILITY INSURANCE COMPANY**

**Countersigned**

**W.J. Gahne**
**President, American Guaranty & Liability Insurance Company**

**Z 007116**