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POLICY NUMBER: BA-8S58894A-21-14-G <br />ISSUE DATE: 12-6-21 <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br />This endorsement modifies insurance provided under the following: <br />ALL COVERAGE PARTS INCLUDED IN THIS POLICY <br />SCHEDULE <br />CANCELLATION: Number of Days Notice: <br />PERSON OR <br />ORGANIZATION: <br />ANY PERSON OR ORGANIZATION TO WHOM <br />CONTINUED ON IL T8 03 <br />ADDRESS: <br />CONTINUED ON IL T8 03 <br />CHARLOTTE <br />NC <br />28219-0888 <br />F9116021• <br />30 <br />If we cancel this policy for any legally permitted reason other than nonpayment of premium, and a number of days <br />is shown for Cancellation in the Schedule above, we will mail notice of cancellation to the person or organization <br />shown in such Schedule. We will mail such notice to the address shown in the Schedule above at least the <br />number of days shown for Cancellation in such Schedule before the effective date of cancellation. <br />IL T4 05 05 19 0 2019 The Travelers Indemnity Company. All rights reserved <br />Risk Muagmient DMsian <br />REVIEWED & APPROVED BY: A*fp AvvA4 <br />Risk Management Specialist <br />