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POLICY NUMBER: Y-630-8S587628-PHX-21 GENERAL PURPOSE ENDORSEMENT <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br />DESIGNATED PERSON OR ORGANIZATION - NOTICE OF <br />CANCELLATION PROVIDED BY US <br />IL T4 05 05 19 <br />THIS ENDORSEMENT MODIFIES INSURANCE PROVIDED UNDER THE FOLLOWING: <br />ALL COVERAGE PARTS INCLUDED IN THIS POLICY <br />CONTINUATION OF FORM IL T4 05, PERSON OR ORGANIZATION: <br />ANY PERSON OR ORGANIZATION TO WHOM YOU HAVE AGREED IN A WRITTEN CONTRACT THAT <br />NOTICE OF CANCELLATION OF THIS POLICY WILL BE GIVEN, BUT ONLY IF: <br />1. YOU SEND US A WRITTEN REQUEST TO PROVIDE SUCH NOTICE, INCLUDING THE NAME <br />AND ADDRESS OF SUCH PERSON OR ORGANIZATION, AFTER THE FIRST NAMED INSURED <br />RECEIVES NOTICE FROM US OF THE CANCELLATION OF THIS POLICY; AND <br />2. WE RECEIVE SUCH WRITTEN REQUEST AT LEAST 14 DAYS BEFORE THE BEGINNING OF <br />THE APPLICABLE NUMBER OF DAYS SHOWN IN THIS ENDORSEMENT. <br />ADDRESS: <br />THE ADDRESS FOR THAT PERSON OR ORGANIZATION INCLUDED IN SUCH WRITTEN REQUEST <br />FROM YOU TO US. <br />IL T8 03 <br />Risk Management Division <br />Page REVIEWED & APPROVM BY: <br />NOW Risk Management Specialist <br />