Laserfiche WebLink
DMS Facility Services <br />Policy term 10-1-19 to 10-1-20 <br />GL Policy #TB2-691-458727-089 <br />Policy Number <br />Issued by LIBERTY MUTUAL FIRE INSURANCE COMPANY <br />THIS ENDORSEMENT CHANGES THE POLICY, PLEASE READ IT CAREFULLY, <br />NOTICE OF CANCELLATION TO THIRD PARTIES <br />This endorsement modifies insurance provided under the following <br />BUSINESS AUTO COVERAGE PART <br />MOTOR CARRIER COVERAGE PART <br />GARAGE COVERAGE PART <br />TRUCKERS COVERAGE PART <br />EXCESS AUTOMOBILE LIABILITY INDEMNITY COVERAGE PART <br />SELF -INSURED TRUCKER EXCESS LIABILITY COVERAGE PART <br />COMMERCIAL GENERAL LIABILITY COVERAGE PART <br />EXCESS COMMERCIAL GENERAL LIABILITY COVERAGE PART <br />PRODUCTSICOMPLETED OPERATIONS LIABILITY COVERAGE PART <br />LIQUOR LIABILITY COVERAGE PART <br />COMMERCIAL. LIABILITY — UMBRELLA COVERAGE FORM <br />C— --_`-- Schedule <br />Name of Other Person(s)/ <br />oroanizananfsl: <br />Emas Addressormailing.da-,esm� -- <br />Number Days Notice: <br />Broker will provide list of <br />organizations and contacts at <br />least 10 days prior to the <br />advanced notification date <br />Sg <br />A. If we cancel this policy for any reason other than nonpayment o1 premium, we will notify the persons or <br />organizations shown In the Schedule above. We will send notice to Wa amail or mailing address listed above <br />at least 10 days, or the number of days listed above, If any, before the cancellation becomes eff.c(ive. In no <br />event does the notice to the thlyd party exceed the notice to the first named insured- <br />B. This advance notification of a pending cancellation of coverage is intended as a courtesy only Our (allure to <br />provide such advance notification will not extend the policy cancellation dale nor negate canceltalion of the <br />policy. <br />All other terms and conditions of [his policy remain unchanged, <br />LIM g0 0105 11 C 2011 Liberty Mutual Group of Companies. All rights reserved. Page 1 of 1 <br />Includes capyrighled material of Insurance Services Office, Inc., with <br />its permission. <br />REVIEWED & APPROVED <br />By Risk MANACIEMENT DIVISION <br />T 0&ILLAREAF <br />FRANCINE R. <br />