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Named Insured Pitney <br />Number <br />Policy Symbol Polficy Number Polcy Period Effective Date of Endorsement <br />ISA H25550511 7/1/2021 to 7/1/2022 7/1/2021 <br />Issued By (Name of Insurance Company) <br />ACE Amerk:;an Insurance Company <br />........................... ..... ................................................................................................................................................................................................................................................................................................................................................................................................................................................................................ <br />nsoivt the vx*0 y rwivibeir Thc,, feqnainder of the Infwaiatlon is to be i-ampleted (:Wy when this endorsement is issued <br />111-111! 1 [024 12 1 010110t&M rA 1424 111 Its]" UMMI*2111 6 IM 219JIRFOMAU�_[rT �ILT 10-21-ANT-TIPTU <br />A. If we cancel the Policy prior to its expiration date by notice to you or the first Named insured for any reason other than <br />nonpayment of premium, we will endeavor, as set out below, to send written notice of cancellation, via such electronic <br />or other form of notification as we determine, to the persons or organizations listed in the schedule that you or your <br />representative provide or have provided to us (the "Schedule"). You or your representative must provide us with the <br />physical andlor e-mail address of such persons or organizations, and we will utilize such e-mail address or physical <br />address that you or your representative provided to us on such Schedule, <br />B. The Schedule must be initially provided to us within 15 days after: <br />L 'The beginning of the Policy period, if this endorsement is effective as of such date; or <br />it. I his endorsement has been added to the Policy, if this endorsement is effective after the Policy period <br />commences. <br />C. The Schedule must be in an electronic format that is acceptable to us', and must be accurate. <br />D. Our delivery of the notification as described in Paragraph A. of this endorsement will be based on the most recent <br />Schedule in our records as of the date the notice of cancellation is mailed or delivered to the first Named Insured. <br />E. We will endeavor to send or deliver such notice to the e-mail address or physical address corresponding to each <br />person or organization indicated in the Schedule at least 30 days prior to the cancellation date applicable to the <br />Policy. <br />F, The notice referenced in this endorsement is intended only to be a courtesy notification to the person(s) or <br />organization(s) named in the Schedule in the event of a pending cancellation of coverage. We have no lega� <br />obligation of any kind to any such person(s) or organi7ation(s). Our failure to provide advance notification of <br />cancellation to the person(s) or organization(s) shown in the Schedule shall impose no obligation or liability of any <br />kind upon us, our agents or representatives, will not extend any Policy cancellation date and will not negate any <br />cancellation of the Policy. <br />GWe are not responsible for verifying any information provided to us in any Schedule, nor are we responsible for any <br />incorrect information that you or your representative provide to us. If you or your representative does not provide us <br />with a Schedule, we have no responsibility for taking any action under this endorsement. In addition, if neither you nor <br />your representative provides us with e-mail and physical address information with respect to a particular person or <br />organization, then we shall have no responsibility for taking action with regard to such person or entity under this <br />endorsement. <br />H. We may arrange with your representative to send such notice in the event of any such cancellation, <br />I. You will cooperate with us in providing the Schedule, or in causing your representative to provide the Schedule. <br />J. This endorsement does not apply in the event that you cancel the Policy. <br />ALL-32687 (05/11) <br />cF RAMwagmedDiVisiun <br />Jy? N,�q REVIEWED & APPROVED BY.- <br />VX*vd <br />RiWjanagementftaly5t <br />