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WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY <br />( 30 ) DAY NOTICE OF CANCELLATION ENDORSEMENT <br />Pacif ricCompw <br />A CopperPoint Insurance Company <br />It is agreed that with respect to Part Six -Conditions "D. Cancellation, Item 2" of the policy is amended to provide <br />that the company shall give Thirty ( 30) day Notice of Cancellation to the insured and any holders of <br />Certificates of Insurance in lieu of ten (10) days as provided. <br />No other portion of Part Six -Conditions "D. Cancellation, Item 2" is changed or amended by this endorsement. <br />This does not apply to non-payment of premium and/or non -reporting of payroll, ten (10) day Notice of Cancellation <br />shall be sent. <br />Never less than the number of days required by California Law. <br />This endorsement changes the policy to which it Is attached and is effective on the policy effective date unless otherwise stated. <br />This endorsement, effective on 06-01-20 <br />Policy Number WA-005984-01 of the <br />Policy Effective Date 06-01-20 to 06-01-21 <br />Insured Name DEC Corporation <br />Premium $ <br />Countersigned at Thousand oaks CA on <br />1000-10-0192J <br />WC 99 06 01 (Ed sot) <br />at 12:01 A.M. standard time, forms a part of <br />Pacific Compensation Insurance Company <br />NCCI Carrier Code 11555 <br />ISSUED <br />Endorsement No. <br />06/01/20 AT 02:29 PM <br />, e¢� wekMenagnnatEniwaion <br />��R**EWMEn&APPP'xRxOVED By - <br />IT, <br />Rhk Management Analyst <br />Authorize <br />BY U25 <br />