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Policy Number: PMB0001686 RLI Insurance Company <br /> Named Insured:ELMT Consulting Inc <br /> THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br /> RLIPack° NOTICE OF CANCELLATION OR NONRENEWAL — <br /> DESIGNATED PERSON OR ORGANIZATION <br /> Schedule <br /> Designated Person or Organization: <br /> As per schedule to be provided upon request <br /> Email Address: <br /> US Mail Address: <br /> If we cancel or chose to nonrenew this policy for any reason other than nonpayment of premium we will provide written <br /> notice at least (30 ) days before the effective date of the cancellation or nonrenewal to the designated person or <br /> organization in the above schedule. <br /> Such notice will be sent via the US mail address or E-mail address listed above. Proof of mailing or e-mailing will be <br /> sufficient proof of notice. <br /> PPK 2108 05 11 Page 1 of 1 <br />