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Endorsement 9 <br /> ZURICH <br /> Policy No. Ell',Date of Pol Exp.Date of Pol, Etf Date of End Producer Add'I Prem Return Prem <br /> we 8902941-05 12/31/2024 <br /> WORKERS COMPENSATION AND EMPLOYERS LIABLITY <br /> INSURANCE POLICY <br /> BLANKET NOTIFICATION TO OTHERS OF CANCELLATION OR NONRENEWAL <br /> ENDORSEMENT <br /> This endorsement is used to add the following to Part Six of the policy. <br /> PART SIX <br /> CONDITIONS <br /> Blanket Notification to Others of Cancellation or Nonrenewal <br /> 1. If we cancel or non-renew this policy by written notice to you, we will mail or deliver notification that <br /> such policy has been cancelled or non-renewed to each person or organization shown in a list provided <br /> to us by you if you are required by written contract or written agreement to provide such notification. <br /> However, such notification will not be mailed or delivered if a conditional notice of renewal has been <br /> sent to you. Such list: <br /> a. Must be provided to us prior to cancellation or non-renewal; <br /> b. Must contain the names and addresses of only the persons or organizations requiring notification <br /> that such policy has been cancelled or non-renewed; and <br /> c. Must be in an electronic format that is acceptable to us. <br /> 2. Our notification as described in Paragraph 1. above will be based on the most recent list in our records <br /> as of the date the notice of cancellation or non-renewal is mailed or delivered to you. We will mail or <br /> deliver such notification to each person or organization shown in the list: <br /> a. Within ten days of the effective date of the notice of cancellation, if we cancel for non-payment of <br /> premium; or <br /> b. At least 30 days prior to the effective date of: <br /> (1) Cancellation, if cancelled for any reason other than nonpayment of premium; or <br /> (2) Non-renewal, but not including conditional notice of renewal. <br /> 3. Our mailing or delivery of notification described in Paragraphs 1. and 2. above is intended as a courtesy <br /> only. Our faflure to provide such mailing or delivery will not: <br /> a. Extend the policy cancellation or non-renewal date; <br /> b. Negate the cancellation or non-renewal; or <br /> c. Provide any additional insurance that would not have been provided in the absence of this <br /> endorsement. <br /> 4. We are not responsible for the accuracy, integrity, timeliness and validity of information contained in the <br /> list provided to us as described in Paragraphs 1. and 2. above. <br /> All other terms and conditions of this policy remain unchanged. <br /> This endorsement changes the policy to which it is attached and is effective on the date issued unless <br /> otherwise stated. <br /> WC990643 (0113) <br /> Page l of 1 <br />