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Last modified
4/9/2025 4:52:01 PM
Creation date
4/9/2025 4:47:09 PM
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Contracts
Company Name
ADS CORP.
Contract #
N-2025-084
Agency
Public Works
Expiration Date
1/22/2026
Insurance Exp Date
12/31/2025
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Policy Number: AS2-581-004088-035 <br /> Issued By: T iberty 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 following: <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 /> Name of Other Person(s)/ Email Address or mailing Number <br /> Organization(s): 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 reason other than nonpayment of premium, we will notify 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 days, 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 policy cancellation date nor negate cancellation of <br /> the policy. <br /> All other terms and conditions of this policy remain unchanged. <br /> LIM 99 0105 11 O 2011, Liberty Mutual Group of Companies. All rights reserved. Page 1 of 1 <br /> Includes copyrighted material of Insurance Services Office, Inc. <br /> with its permission. <br />
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