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NOTICE OF CANCELLATION TO THIRD PARTIES <br />A. If we cancel this policy for any reason other than nonpayment of premium, we will notify the persons or <br />organizations shown in the Schedule below. We will send notice to the email or mailing address listed below at <br />least 10 days, or the number of days listed below, if any, before cancellation becomes effective, In no event <br />does the notice to the third party exceed the notice to the first named Insured. <br />B. This advance notification of a pending cancellation of coverage is Intended as a courtasy only. Our failure to <br />provide such advance notification will not extend the policy cancellation data nor negate cancellation of the <br />policy. <br />Schedule <br />Name of Other Persons) f Email Address or mailing address: Number Days Notice: <br />Organization{s): <br />Schedule on file wlth the Schedule on file with the 90 <br />company company <br />All other terms and conditions of this policy remain unchanged. <br />Issued by Liberty Insurance Corporation 21614 <br />For attachment to Policy No. WA7.64D-006097.010 Effective Date Premium $ <br />Issued to Centennial Energy Holdings, Inc. <br />WC 99 20 79 <br />Ed.1210112016 <br />02016 Liberty Mutual Insurance <br />Page 1 of 1 <br />