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WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC 99 01 10 <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY_ <br />EARLIER NOTICE OF CANCELLATION PROVIDED BY US ENDORSEMENT <br />This endorsement modifies insurance provided under the following: <br />WORKERS' COMPENSATION AND EMPLOYERS' LIABILITY INSURANCE POLICY <br />Number of Days Notice: 90 <br />(If no entry appears above, information required to complete this Schedule will be shown in the Declarations as <br />applicable to this endorsement) <br />For any statutorily permitted reason other than nonpayment of premium, the number of days required for notice of <br />cancellation, as provided in PART SIX — CONDITIONS, D. Cancellation of the Workers' Compensation and <br />Employers' Liability Insurance Policy or as amended by an applicable state cancellation endorsement, is increased to <br />the number of days shown in the Schedule above. <br />All other terms and conditions remain the same. <br />This endorsement changes the policy to wNch it is attached and is effective on the date Issued unless otherwise stated. <br />(The information below is required only when this endorsement is issued subsequent to preparation of the policy.) <br />Endorsement Effective April 1, 2013 Policy No_ CWG740 9 01 502 Endorsement No, <br />Insured ATKINS US HOLDINGS INC. <br />Insurance Company Greenwich Insurance Company <br />Countersigaed by .� <br />WC 99 01 10 <br />Ed. 1108 <br />0 2007 XL America, ins _ <br />