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Policy Number:A92-681-004088-034 <br /> Issued By: Liberty Mutual ]fire Insurance Co. <br /> THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br /> NOTICE OF CANCELLATION TO THIRD PARTIES <br /> This endorsement modifies insurance provided under the follovAng. <br /> BUSINESS AUTO?COVERAGE PART <br /> MOTOR CARRIER COVERAGE PART <br /> GARAGE COVERAGE PART <br /> TRUCKERS COVERAGE PART <br /> EXCESS AUTOMOBILE LIABILITY INDEMNITY COVERAGE PART <br /> SELF-INSURED TRUCKER EXCESS LIABILITY COVERAGE PART <br /> COMMERCIAL GENERAL LIABILITY COVERAGE PART <br /> EXCESS COMMERCIAL GENERAL LIABILITY COVERAGE PART <br /> PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART <br /> LIQUOR LIABILITY COVERAGE PART <br /> Schedule <br /> Nano of Other Person(s)! Email Addran or mailing Nurr6er <br /> OrSanlzatlon(a): address: Days <br /> Notice. <br /> Per schedule on file, with the Per schedule on file with the 30 <br /> Company Company <br /> A. If we cancel this policy for any season other than nonpayment of premium. we will nottry the persons or <br /> organizations shown In the Schedule above. We will send notice to the email or mailing address listed <br /> above at least 10 clays, or the number of days listed above, If any, before the cancellation becomes <br /> effective. In no event 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 <br /> to provide such advance notification will not extend the Wiry cancellation date nor negate cancellation of <br /> the policy. <br /> All other terms and conditions of this policy remain unchanged. <br /> LIM 99 01 0511 0 2011,Liberty Mutual Group of Companies. All rights reserved. Page i of'I <br /> Includes copyrighted material of Insurance Services Office, Inc. <br /> with its permission. <br />