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CC68021A <br />(Ed. 02/13) <br />NOTICE OF CANCELLATION TO CERTIFICATE HOLDERS <br />It is understood and agreed that: <br />If you have agreed under written contract to provide notice of cancellation to a party to whom the Agent of <br />Record has issued a Certificate of Insurance, and if we cancel a policy term described on that Certificate <br />of Insurance for any reason other than nonpayment of premium, then notice of cancellation will be <br />provided to such Certificateholders at least 30 days in advance of the date cancellation is effective. <br />If notice is mailed, then proof of mailing to the last known mailing address of the Certiflcateholder on file <br />with the Agent of Record will be sufficient to prove notice. <br />Any failure by us to notify such persons or organizations will not extend or invalidate such cancellation, or <br />impose any liability or obligation upon us or the Agent of Record. <br />Attachment Code: D495276 <br />Certificate ID: 12892512 <br />a. RkkMansgznuntDMelnn <br />8M RIAEWED & APPROVED By,va�una�., iftGtvac6 <br />Risk Management Analyst <br />