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Endorsement # <br />Cancellation By Us <br />ala/ <br />ZURICH <br />Policy No. <br />Eff. Date of Pol. Exp. DoteorPol. <br />En: Date of End. <br />Pmdocer No. <br />Add'1 Prem. <br />Rehm Prem. <br />PRA5908492Q <br />5/1/16 5/1/19 <br />Named Insured and Malting Address: <br />Cathylon Enterprises, Inc. dba HB Staffing <br />2120 Main Street <br />Suite 250 <br />Huntington Beach, CA 92648 <br />Producer: <br />World Wide New York Insurance Services, Inc. <br />68 South Service Road Suite 235 <br />Melville, NY 11747 <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br />This endorsement modifies insurance provided by the following: <br />Boiler and Machinery Coverage Form <br />Business Auto Coverage Form <br />Commercial Crime Coverage Form <br />Commercial General Liability Coverage Form <br />Commercial Inland Marine Coverage Form <br />Commercial Property Coverage Form <br />Farm Coverage Form <br />Garage Coverage Form <br />Liquor Liability Coverage Form <br />Motor Carrier Coverage Form <br />Pollution Liability Coverage Form <br />Praducts/Completed Operations Liability Coverage Form <br />Truckers Coverage Form <br />SCHEDULE <br />Number of Days' Notice: 30 <br />Any person or organization with whom you have agreed to provide 30 days prior written notice of cancellation, as <br />identified on the list of such persons or organizations that is currently on file with the company <br />(If no entry appears above, information required to complete this Schedule will be shown in the Declarations as applicable to this <br />endorsement.) <br />For any statutorily permitted reason other than nonpayment of premium, the number of days required for notice of cancellation, as <br />provided in paragraph 2, of either the CANCELLATION Common Policy Condition or as amended by an applicable state cancellation <br />endorsement, is increased to the number of days shown in the Schedule above. <br />Signed by: <br />Authorized Representative <br />Date <br />U -GU -298-a CW (e4-94) <br />Page 1 of 1 <br />