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Cirdepoint <br />57SBABE5G30 <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br />THE <br />HARTFORD <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 cancellation will be <br />provided at least thirty (30) days in advance of the cancellation effective date to the certificate holder(s) with mailing <br />addresses on file with the agent of record or the Company. <br />B. If this policy is cancelled by the company for non-payment of premium, or by the insured, notice of such cancellation <br />will be provided within ten (10) days of the cancellation effective date to the certificate holder(s) with mailing <br />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(s) 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 certificate holder(s) who were issued a certificate <br />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 shall impose no liability of any kind upon the <br />Company or its agents or representatives. <br />Form SL 90 13 10 18 <br />APPROVED <br />By Cynthia Mora at 2:52 pm, Dec 04, 2024 <br />Page 1 of 1 <br />© 2018, The Hartford <br />(May include copyrighted material of Insurance Services Office, Inc., with its permission) <br />82727233 24-25 GL/AU/S /WC/R&O-Q$ez I E nl;OT1 OT2 OT3 OT4 I Lillian Bailie 1 11/14/2024 9:01:11 AM (PST) I Page B o1 9 <br />