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Attachment Code: D661116 Master ID: 1533716,Certificate ID:20838512 <br /> Workers Compensation And Employers Liability Insurance CNA <br /> Policyholder Notice <br /> NOTICEOF • TO CERTIFICATE HOLDERS <br /> It is understood and agreed that: <br /> If you have agreed under written contract to provide notice of cancellation to a party to whom the Agent of <br /> Record has issued a Certificate of Insurance, and if we cancel a policy term described on that Certificate of <br /> Insurance for any reason other than nonpayment of premium, then notice of cancellation will be provided to <br /> such Certificate Holders at least 30 days in advance of the date cancellation is effective. <br /> If notice is mailed, then proof of mailing to the last known mailing address of the Certificate Holder on file with <br /> the Agent of Record will be sufficient to prove notice. <br /> Any failure by us to notify such persons or organizations will not extend or invalidate such cancellation, or <br /> impose any liability or obligation upon us or the Agent of Record. <br /> All other terms and conditions of the policy remain unchanged. <br /> This endorsement, which forms a part of and is for attachment to the policy issued by the designated Insurers, <br /> takes effect on the Policy Effective Date of said policy at the hour stated in said policy, unless another <br /> effective date (the Endorsement Effective Date) is shown below, and expires concurrently with said policy <br /> unless another expiration date is shown below. <br /> Form No: CC68021A(02-2013) Policy No: WC 7 63803679 <br /> Policyholder Notice;Page: 1 of 1 Policy Effective Date: 01/01/2025 <br /> Underwriting Company: The Continental Insurance Company, 151 N Franklin St,Chicago, IL 60606 Policy Page:4 of 20 <br /> ©Copyright CNA All Rights Reserved. <br />