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c� State Farm <br />Dear Certificate Holder, <br />We are pleased to attach a standard ACORD certificate of insurance issued to you on behalf of <br />the captioned client. For the reasons stated within this informational letter, State Farm is <br />unable to comply with your request for one or more of the following changes: <br />Modify the current ACORD form including specific requests on notice of cancellation or <br />statements that purport to modify policy provisions <br />a Issue a prior edition of the ACORD form <br />� Complete a proprietary certificate of insurance <br />A Complete a proprietary coverage form, coverage questionnaire or coverage statement <br />Upon request and if authorized by our insured, we will be happy to provide you with certified <br />copies of all property and/or liability insurance policies in force for our insured that are relevant <br />to you. <br />• Notice of cancellation is a policy provision. A certificate that purports to provide a policy <br />provision different from that provided by the policy itself cannot amend the insurance <br />policy. Adding or modifying language to the certificate regarding coverages or rights <br />may be in violation of laws concerning certificates of insurance in the given state. <br />• State Farm is unable to provide the cancellation notice you request by endorsement. <br />The policyholder can cancel immediately and state laws grant the insurer the right to <br />cancel for reasons such as nonpayment with less notice than you may require. <br />• ACORD forms carry a copyright and their use is licensed. Use of an older edition of any <br />ACORD form without ACORD's permission would violate ACORD's licensing agreement <br />and federal copyright law. <br />• We do not issue certificates of insurance that are not on our forms or on an ACORD <br />form we have licensed for use. Many proprietary certificates include language that may <br />or may not comply with state laws, regulations, and insurance department directives. <br />They may include wording implying coverages or rights violating the law concerning <br />certificates of insurance in the given state. <br />Coverage surveys, questionnaires or statements are often presented as "affidavits" or <br />warranties that the coverages afforded the insured comply with the contract the <br />policyholder has signed with the certificate holder. We can only certify the coverage <br />State Farm offers, but cannot provide you with assurances regarding other coverages <br />mentioned in your surveys, questionnaires or coverage statements. <br />We appreciate your understanding of why we are not able to comply with your request. <br />C01 Response Letter v-M I9.13 US Providing Insurance and Financial Services, <br />Ktk ManagementDMsian <br />REVIEWED&APPROVED By: <br />'� Risk Management Analyst <br />