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POLICY NUMBER;000-69441235 ISSUE DATE: THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. DESIGNATED ENTITY - NOTICE OF CANCELLATION/NONRENEWAL PROVIDED BY US This endorsement modifies Insurance provided under the following: ALL COVERAGE PARTS INCLUDED IN THIS POLICY SCHEDULE CANCELLATION: Number of Days Notice of Cancellation: 30 NONRENEWALt Number of Days Notice of Nonrenewal: 3O PERSON OR ORGANIZATION: ANY PERSON OR ORGANIZATION TO WHOM YOU PAVE AGREED IN A WRITTEN CONTRACT TEAT NOTICE OF CANCELLATION OR NONRENZNAL OF THIS POLICY WILL BE GIVEN. MET ONLY ZIPS 1- YOU SEND US A WRITTEN REQUEST TO PROVIDE SUCH NOTICE, INCLUDING TER NAME AND A®ORESS OF SUCH PERSON OR ORGANIZATION, AFTER THE FIRST NANSD INSURED RECEIVES NOTICE FROM US OF THE CANCELLATION OR NOWRAHNNAL OF THIS 2. WE RECEIVE SUCH WRITTEN REQUEST AT LEAST 34 DAYS BEFORE Tffi BEGINNING OF THE APPLICABLE NUMM OF DAYS GROWN IN THIS SCHEDULE. ADDRESS: THE ADDRESS FOR TEAT PERSON OR ORGANIZ- ATION INCLUDED IN SUCH WRITTEN REOUSST FROM YOU TO US. PROVISIONS: A. It we cancel this policy for any statuto* permit- ted mason other than nonpayment of premium and a number of days is shown for cancellation in the schedule above, we wtli man notice of cancel- lation to the person or organizatlon shown in the schedule above. We will map such nonce to the address shown In the schedule above at least the number of days shown for cancellation In the schedule above before the effective date of can- ceiladon POLICY: AM B. If we deride 10 not mnaw tMs policy for any statu• torgy permitted reason, and a number of days Is shown far nonrenewal in the schedule above, we will mall notice of the nonrenewat to the person or Organization shown In the schedule above. We will man such notice to the address shown in the schedule above at least the number of days shown for nonrenewalin the schedule above be- fore the expiration date. IL T4 OD 12 09 O20a4Tde Tr"ern ind@mdty co Q„y Page 1 of 1