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POLICY NUMBER: 6307J366586TIL17 ISSUE DATE: 11/09/2017 <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br />DESIGNATED ENTITY — NOTICE OF <br />CANCELLATION PROVIDED BY US <br />This endorsement modifies insurance provided under the following: <br />ALL COVERAGE PARTS INCLUDED IN THIS POLICY <br />SCHEDULE <br />CANCELLATION: Number of Days Notice of Cancellation: 30 Das <br />PERSON OR <br />ORGANIZATION: AS Per Written Contract or Agreement <br />ADDRESS: <br />PROVISIONS: <br />If we cancel this policy for any statutorily permitted <br />reason other than nonpayment of premium, and a <br />number of days is shown for cancellation in the <br />schedule above, we will mail notice of cancellation to <br />the person or organization shown in the schedule <br />above. We will mail such notice to the address shown <br />in the schedule above at least the number of days <br />shown for cancellation in the schedule above before <br />the effective date of cancellation. <br />IL T4 05 03 11 © 2011 The Travelers Indemnity Company, All rights reserved. <br />I MI -11 <br />Kyf'M"'D P� /�, 01 <br />Page 1 of 1 <br />C) to r <br />