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0 <br />Notification to Others of Cancellation ZURICH <br />Policy No. <br />Eff. Date of Pol. <br />I Exp. Date of Pol. <br />Eff. Date of End. <br />Producer No. <br />Add'I. Prem <br />Return Prem. <br />BAP-0217109-05 <br />11/13/2020 <br />11/13/2021 <br />11/13/2020 <br />14340000 <br />------- <br />--------- <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br />This endorsement modifies insurance provided under the: <br />Commercial Automobile Coverage Part <br />A. If we cancel this Coverage Part by written notice to the first Named Insured for any reason other than nonpayment of <br />premium, we will mail or deliver a copy of such written notice of cancellation: <br />1. To the name and address corresponding to each person or organization shown in the Schedule below; and <br />2. At least 10 days prior to the effective date of the cancellation, as advised in our notice to the first Named Insured, <br />or the longer number of days notice if indicated in the Schedule below. <br />B. If we cancel this Coverage Part by written notice to the first Named Insured for nonpayment of premium, we will mail <br />or deliver a copy of such written notice of cancellation to the name and address corresponding to each person or <br />organization shown in the Schedule below at least 10 days prior to the effective date of such cancellation. <br />C. If notice as described in Paragraphs A. or B. of this endorsement is mailed, proof of mailing will be sufficient proof of <br />such notice. <br />SCHEDULE <br />Name and Address of Other Person(s) / Number of Days Notice: <br />Organ Izations : <br />Any person(s) or organization(s) whom you are required by 30 <br />written contract. <br />All other terms and conditions of this policy remain unchanged. <br />1Jek Mnsegernod DNLIon <br />,vt REVIEWED& APPROVEDBr: <br />g�ixlnlrtt' ��Fcn.e 2. V:(L�C <br />INTERNAL USE ONLY ` NukManagernent Analyst ` <br />Includes copyrighted material of Insurance Services Office, Inc., with its permission Of <br />