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ENDORSEMENT# <br />This endorsement, effective 12:01 a.m., forms a part of <br />Policy No. RGD5000259 <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br />CN_�.l�i��.r_rr[.]. �.r.S7� rNr r [.7:_�Y.Z.�r.l_���.1.Z.7 �Z�9 �, -iI �irlr <br />In the event coverage is cancelled for any statutorily permitted reason, other than nonpayment of premium, <br />advanced written notice will be mailed or delivered to persons) or entity(ies) according to the notification <br />schedule shown below: <br />Number of Days <br />Name of Persons) or Entity(ies) Mailing Address: Advanced <br />Notice of <br />Cancellation: <br />'•Blanket er List on file" "Blanket er List on file" 30 <br />All other terms and conditions of the Policy remain unchanged. <br />IXI 405 091 O <br />© 201 O X.L. America, Inc. All Rights Reserved. <br />May not be copied without permission. <br />