Laserfiche WebLink
NAMED INSURED ENDORSEMENT EFFECTIVE POLICY NUMBER <br />MUSCO CORPORATION 07-01-21 90-16877-01 <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br />NOTICE OF CANCELATION-CERTIFICATE HOLDERS <br />WORKERS COMPENSATION <br />The person(s) or organization(s) listed or described in the Schedule <br />below have requested that they receive written notice of cancelation-when <br />this policy is cancelled by us. We will mail or deliver to the Person(s) <br />or Organization(s) listed or described in the Schedule a copy of the <br />written notice of cancelation that we sent to you. Such copies of the <br />notice will be mailed as soon as practicable to the address or addresses <br />provided by your broker or agent. <br />This notification of cancelation of the policy is intended as a courtesy <br />only. Our failure to provide such notification to the person(s) or <br />organization(s) shown in the Schedule will not extend any policy cancela- <br />tion date nor impact or negate any cancelation of the policy. This <br />endorsement does not entitle the person(s) or organization(s) listed or <br />described in the Schedule below to any benefit, rights or protection <br />under this policy. <br />Failure by us to provide this notice of cancelation to the person(s) or <br />organization(s) listed or described in the Schedule below will not impose <br />liability of any kind upon us. <br />Any of these provisions that conflict with a law that controls the notice <br />of cancelation of the insurance in this endorsement is changed by this <br />statement to comply with the law. <br />SCHEDULE <br />Person(s) or Organization(s) including mailing address: <br />PER LIST ON FILE WITH AGENT <br />30 DAY NOTICE OF CANCELLATION <br />All other terms and conditions of this policy remain unchanged. <br />WC 99 06 72 09 11 <br />MUc 90-16877-01 00 191 <br />Page 001 <br />RiskMwagementDivision <br />REMEWED & APPROVED BY. - <br />Risk Management Analyst <br />01TIRORG <br />