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THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br />NOTICE OF CANCELLATION TO CERTIFICATE HOLDER(S) <br />Policy Number: 72 WE AC2428 Endorsement Number: <br />Effective Date: 01/01/20 Effective hour is the same as stated on the Information Page of the policy. <br />Named Insured and Address: PACIFIC COAST CABLING INC <br />20717 PRAIRIE ST <br />CHATSWORTH CA 91311 <br />This policy is subject to the following additional <br />Conditions: <br />A. If this policy is cancelled by the Company, other than <br />for non-payment of premium, notice of such <br />cancellation will be provided at least thirty (30) days <br />in advance of the cancellation effective date to the <br />certificate holder(s) with mailing addresses on file <br />with the agent of record or the Company. <br />B. If this policy is cancelled by the Company for <br />non-payment of premium, or by the insured, notice <br />of such cancellation will be provided within ten (10) <br />days of the cancellation effective date to the <br />certificate holder(s) with mailing addresses on file <br />with the agent of record or the Company. <br />If notice is mailed, proof of mailing to the last known <br />mailing address of the certificate holder(s) on file with <br />the agent of record or the Company will be sufficient <br />proof of notice. <br />Any notification rights provided by this endorsement <br />apply only to active certificate holder(s) who were issued <br />a certificate of insurance applicable to this policy's term. <br />Failure to provide such notice to the certificate holder(s) <br />will not amend or extend the date the cancellation <br />becomes effective, nor will it negate cancellation of the <br />policy. Failure to send notice shall impose no liability of <br />any kind upon the Company or its agents or <br />representatives. <br />REVIEWED & APPROVED <br />By Risk MANAGEMENT DiviSION <br />Form WC 99 03 94 Printed in U.S.A. A 2020 <br />Process Date: <br />© 201,&4hi to <br />Policy Expiration Date: 01/01/21 <br />