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Policy#72S5AAJ7706 <br />THIS ENDORSEMENT CHANGES THE POLICY, PLEASE READ IT CAREFULLY. <br />NOTICE OF CANCELLATION TO CERTIFICATE HOLDER(S) <br />This policy Is subject to the following additional Conditions: <br />A. If this policy Is cancelled by the Company, other than for non-payment of premium, notice of such osocellotlon will <br />be provided at least thirty (30) days in advance of the cancellation effective date to the certificate incidents) with <br />mailing addresses on file with the agent of record or Ilia Company. <br />B. If this policy Is cancelled by the company for non-payment of premium, or by the insured, notice of such <br />cancellation will be provided within ten (10) days or the oancellallon effective date to the certificate holder(s) with <br />mailing addresses on file with the agent of record or the Company. <br />if notice is mailed, proof of mailing to the last known mailing address of the certificate holder($) on file with the agent of <br />record or the Company will be sufficient proof of notice. <br />Any notification rights provided by this endorsement apply only to active certikests holders) who were Issued a <br />certificate of Insurance applicable to this policy's term. <br />Failure to provide such notice to the certificate holder(s) will not amend or extend the date the cancellation becomes <br />effective, nor will it negate cancellation of the policy, Failure to send notice shalt impose no liability of any kind upon <br />the Company or Its agents or representatives. <br />Form SS 12 27 6611 <br />REVIEWED <br />R A. <br />G 2011, The Hartford <br />Page i of 1