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Attachment Code:D603996 Master ID: 1508060,Certificate ID:21138329 <br /> POLTCY NUMBER: 810-A1161741-24-43-G <br /> Effective 11/9/2029 <br /> ISSUE DATE: 10/21/24 <br /> THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br /> DESIGNATED PERSON OR ORGANIZATION - NOTICE OF <br /> CANCELLATION PROVIDED BY US <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: 30 <br /> PERSON OR <br /> ORGANIZATION: ANY PERSON OR ORGANIZATION TO WHOM YOU <br /> HAVE AGREED IN A WRITTEN CONTRACT THAT <br /> NOTICE OF CANCELLATION OF THIS POLICY <br /> WILL BE GIVEN, BUT ONLY IF: <br /> 1. YOU SEND US A WRITTEN REQUEST TO <br /> PROVIDE SUCH NOTICE, INCLUDING THE <br /> NAME AND ADDRESS OF SUCH PERSON OR <br /> ORGANIZATION, AFTER THE FIRST NAMED <br /> INSURED RECEIVES NOTICE FROM US OF <br /> THE CANCELLATION OF THIS POLICY; AND <br /> 2. WE RECEIVE SUCH WRITTEN REQUEST AT <br /> LEAST 14 DAYS BEFORE THE BEGINNING OF <br /> THE APPLICABLE NUMBER OF DAYS SHOWN <br /> IN THIS SCHEDULE. <br /> ADDRESS: <br /> THE ADDRESS FOR THAT PERSON OR ORGANIZ- <br /> ATION INCLUDED IN SUCH WRITTEN REQUEST <br /> FROM YOU TO US. <br /> PROVISIONS <br /> If we cancel this policy for any legally permitted reason other than nonpayment of premium, and a number of <br /> 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 /> APPROVED <br /> By Cynthia Mora at 9:12 am, Nov 19, 2024 <br /> IL T4 05 0519 ©2019 The Travelers Indemnity Company.All rights reserved. Page 1 Of 1 <br />