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011LOYA RIIZI:lA7Ec$11111ilIG1:111*1c3 <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br />NOTICE OF CANCELLATION TO CERTIFICATE <br />HOLDER(S) <br />This policy is subject to the following additional certificate holder(s) information from the agent of <br />Conditions: record. <br />A. If this policy is cancelled by the Company, other <br />than for nonpayment of premium, notice of such <br />cancellation will be provided to the certificate <br />holder(s) with mailing addresses on file with the <br />agent of record. Such notice will be provided <br />within 30 days of the Company's receipt of <br />certificate holder(s) information from the agent of <br />record. <br />B. If this policy is cancelled by the Company, for <br />nonpayment of premium, notice of such <br />cancellation will be provided to the certificate <br />holder(s) with mailing addresses on file with the <br />agent of record. Such notice will be provided <br />within 10 days of the Company's receipt of <br />If notice is mailed, proof of mailing to the last known <br />mailing address of the certificate holder(s) on file with <br />the agent of record will be sufficient proof of notice. <br />Any notification rights provided by this endorsement <br />apply only to active certificate holder(s) who were <br />issued a certificate of insurance applicable to this <br />policy's term. <br />Failure to provide such notice to the certificate <br />holder(s) will not amend or extend the date the <br />cancellation becomes effective, nor will it negate <br />cancellation of the policy. Failure to send notice shall <br />impose no liability of any kind upon the Company or its <br />agents or representatives. <br />Form IH 03 11 06 11 <br />0 2011, The Hartford <br />Risk MmagmWdDMkon <br />Aft "44 <br />Risk Management Sped Mist <br />