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THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br /> 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 courtesy only. Our failure to <br /> provide such advance notification will not extend the policy cancellation date nor negate cancellation of the <br /> policy. <br /> SCHEDULE <br /> Name of Other Person(s) / Email Address or mailing address: Number Days Notice: <br /> Organization(s): <br /> Per schedule on file with broker Per schedule on file with broker 30 days <br /> All other terms and conditions of this policy remain unchanged. <br /> Issued by LM Insurance Corp. <br /> For attachment to Policy No.WA5-66D-067353-014 Effective Date 10/01/2024 Premium$ <br /> Issued to <br /> Riek Management DMsinn <br /> �?- REVIEWED&APPROVED BY: <br /> °I 111C I 119 1" A-s-g�e Acevedo <br /> WM 90 18 06 11 ©2011 Liberty Mutual Group of Companies <br /> ® Risk Management Specialist <br /> Ed. 06/01/2011 All Rights Reserved <br />