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Cirdepoint <br />57SBARI3554 <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br />NOTICE OF CANCELLATION TO CERTIFICATE HOLDER(S) <br />This policy is subject to the following additional Conditions: <br />A. If this policy is cancelled by the Company, other than for non-payment of premium, notice of such cancellation will <br />be provided at least thirty (30) days in advance of the cancellation effective date to the certificate holder(s) with <br />mailing addresses on file with the agent of record or the Company. <br />B. If this policy is cancelled by the company for non-payment of premium, or by the insured, notice of such <br />cancellation will be provided within ten (10) days of the cancellation effective date to the certificate holder(s) with <br />mailing addresses on file with the agent of record or the Company. <br />If notice is mailed, proof of mailing to the last known mailing address of the certificate holder(s) on file with the agent of <br />record or the Company will be sufficient proof of notice. <br />Any notification rights provided by this endorsement apply only to active certificate holder(s) who were issued a <br />certificate of insurance applicable to this policy's term. <br />Failure to provide such notice to the certificate holder(s) will not amend or extend the date the cancellation becomes <br />effective, nor will it negate cancellation of the policy. Failure to send notice shall impose no liability of any kind upon <br />the Company or its agents or representatives. <br />MWWg"WdnVWM <br />Form SS 12 23 06 11 RmEwED&,ArreanEDBr. <br />© 2011, The Hartford Risk Ntanagertrn[Oen a1.Mde <br />64482228 121/22 GL-AU-UMB-WC-XS-E&O; 21-22 Cyber I Emily Elsbree 110/8/2021 4:09:39 PM (PDT) I Page 9 cf 9 <br />