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NOTICE OF CANCELLATION TO THIRD PARTIES <br /> A. If we cancel this policy for any reason other than nonpayment of premium, we will notify the persons or <br /> organizations shown in the Schedule below. We will send notice to the email or mailing address listed below at <br /> least 10 days, or the number of days listed below, if any, before cancellation becomes effective. In no event <br /> does the notice to the third party exceed the notice to the first named insured. <br /> B. This advance notification of a pending cancellation of coverage is intended as a courtesy only. Our failure to <br /> provide such advance notification will not extend the policy cancellation date nor negate cancellation of the <br /> policy. <br /> Schedule <br /> Name of Other Person(s)/ Email Address or mailing address: Number Days Notice: <br /> Organization(s): <br /> Per schedule on file with the Per schedule on file with the 30 <br /> company/broker company/broker <br /> All other terms and conditions of this policy remain unchanged. <br /> Issued by LM Insurance Corporation <br /> For attachment to Policy No.WC5-661-067465-015 Effective Date 7/1/25 Premium$ <br /> Endorsement No. <br /> WC 99 20 75 ©2016 Liberty Mutual Insurance Page 1 of 1 <br /> Ed. 12/01/2016 <br />