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THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br /> NOTICE OF CANCELLATION TO DESIGNATED CERTIFICATE HOLDER <br /> Policy Number: 20 WN OL5971 Endorsement Number; 83 <br /> Effective Date:0 6/0 1/2 0 2 s Effective hour is the same as stated on the Information Page of the policy. <br /> Named Insured and Address: ARCADIS U.S. INC <br /> 630 PLAZA DRIVE, STE 200 <br /> HIGHLANDS RANCH, CO 80129 <br /> This policy is subject to the following additional certificate holder(s) in the schedule, within the <br /> Conditions when a number of days are shown in the number of days notice of the cancellation <br /> schedule for any of the below Parts: effective date,as shown in Part C. <br /> A. If this policy is cancelled by the Company, other if notice is mailed, proof of mailing notice to the <br /> than for non-payment of premium, notice of such certificate holder's mailing address as shown in the <br /> cancellation will be provided to the certificate schedule will be sufficient proof of notice. If the <br /> holder in the schedule, at least the number of number of days notice in the schedule for any Part is <br /> days in advance of the cancellation effective left blank or is shown as zero, no notice will be <br /> date, as shown in Part A. provided to the scheduled certificate holder under <br /> B. If this policy is cancelled by the Company for that Part. <br /> non-payment of premium, notice of such Any notification rights provided by this endorsement <br /> cancellation will be provided to the certificate apply only to active certificate holder(s) who were <br /> holder in the schedule within the number of days issued a certificate of insurance applicable to this <br /> notice of the cancellation effective date, as policy's term. <br /> shown in Part B. <br /> C. If this policy is cancelled by the insured, notice of <br /> such cancellation will be provided to the <br /> Schedule <br /> Number of Days Notice: Name and Mailing Address of Certificate Holder <br /> Part A: 30 EASTERN MUN=PAL WATER DISTRICT, WHERE <br /> REQUIRED BY WRITTEN CONTRACT <br /> Part B: 10 <br /> Part C: 30 <br /> Form WC 99 03 96 Printed in U.S.A. <br /> Process Date: Policy Expiration Date: <br /> ©2011,The Hartford <br />