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11:1RI4, INTO] *94Jd:1,rdra:FAkglei *2r:1:8asillI -AJIII S*_Ielk MCI :1:I1'Iwo <br />CALIFORNIA CANCELLATION ENDORSEMENT <br />Policy Number: 72 WEC AB1 Z5Q Endorsement Number: <br />Effective Date: 02/01/20 Effective hour is the same as stated on the Information Page of the policy. <br />Named Insured and Address: AEF Systems Consulting Inc <br />8502 E CHAPMAN AVE STE 376 <br />ORANGE CA 92869 <br />This endorsement applies only to the insurance <br />provided by the policy because California is shown in <br />Item 3.A. of the Information Page. <br />The cancellation condition in Part Six (Conditions) of <br />the policy is replaced by these conditions: <br />Cancellation <br />1. You may cancel this policy. You must mail or <br />deliver advance written notice to us stating when <br />the cancellation is to take effect. <br />2. We may cancel this policy for one or more of the <br />following reasons: <br />a. Non-payment of premium; <br />b. Failure to report payroll; <br />c. Failure to permit us to audit payroll as required <br />by the terms of this policy or of a previous <br />policy issued by us; <br />d. Failure to pay any additional premium <br />resulting from an audit of payroll required by <br />the terms of this policy or any previous policy <br />issued by us; <br />e. Material misrepresentation made by you or <br />your agent; <br />f. Failure to cooperate with us in the <br />investigation of a claim; <br />g. Failure to comply with Federal or State safety <br />orders; <br />h. Failure to comply with written <br />recommendations of our designated loss <br />control representatives; <br />i. The occurrence of a material change in the <br />ownership of your business; <br />j. The occurrence of any change in your <br />business or operations that materially <br />increases the hazard for frequency or severity <br />of loss; <br />k. The occurrence of any change in your <br />business or operation that requires additional <br />or different classification for premium <br />calculation; <br />I. The occurrence of any change in your <br />business or operation which contemplates an <br />activity excluded by our reinsurance treaties. <br />3. If we cancel your policy for any of the reasons <br />listed in (a) through (f), we will give you 10 days <br />advance written notice, stating when the <br />cancellation is to take effect. Mailing that notice to <br />you at your mailing address shown in Item 1 of the <br />Information Page will be sufficient to prove notice. <br />If we cancel your policy for any of the reasons <br />listed in Item (g) through (I), we will give you 30 <br />days advance written notice; however, we agree <br />that in the event of cancellation and reissuance of <br />a policy effective upon a material change in <br />ownership or operations, notice will not be <br />provided. <br />4. The policy period will end on the day and hour <br />stated in the cancellation notice. <br />Countersigned by: <br />Form WC 04 06 01 A Printed in U.S.A. <br />Process Date: 12/23/19 Policy E: <br />Rime Management DMsion <br />REVIEWED&APPROVEDBY: <br />'� Risk Management Analyst <br />