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THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br />This endorsement, effective 12:01 A.M. 07!0112012 <br />forms a part of Policy No. WC 0434-644-43 <br />issued to CENTRAL PARKING CORPORATION <br />By: NATIONAL UNION FIRE INSURANCE COMPANY OF PITTSBURGH, PA <br />LIMITED ADVICE OF CANCELLATION TO SCHEDULED ENTITIES <br />(WORKERS' COMPENSATION ONLY) <br />This policy is amended as follows: <br />In the event that the Insurer cancels this policy for any reason other than non-payment of <br />premium, and <br />1 _ the cancellation effective date is prior to this policy's expiration date; <br />2. the Named Insured or, if applicable, any other employers named in Item 1 of the <br />Information Page is under an existing contractual obligation to notify a certificate <br />holder(s) when this policy is canceled (hereinafter, the "Certificate Holder(s)") and <br />the Named Insured has provided the Insurer, either directly or through its broker of <br />record, either: <br />(a) the name of the entity shown on the certificate, a contact name at such entity <br />and the U.S. Postal Service mailing address of each such entity; or <br />(b) the email address of a contact at each such entity; and <br />3. prior to the effective date of cancellation, the Named Insured confirms to the <br />Insurer, either directly or through its broker of record, that the persons or <br />organizations set forth in the Schedule below, as well as their respective addresses <br />listed, should continue to be a part of the Schedule and, if not, the names of the <br />persons or organizations that should be deleted, <br />the Insurer will provide advice of cancellation (the "Advice") to each such Certificate <br />Holder(s) confirmed by the Named Insured in writing to be correctly a part of the Schedule <br />within 30 days after the Named Insured confirms the accuracy of the Schedule below with <br />the Insurer; provided, however, that if a specific number of days is not stated above, then <br />the Advice will be provided to such Certificate Holder(s) as soon as reasonably practicable <br />after the Named Insured confirms the accuracy of the Schedule below with the Insurer. <br />Proof of the Insurer emailing the Advice, using the information provided and subsequently <br />confirmed by the Named Insured in writing, will serve as proof that the Insurer has fully <br />satisfied its obligations under this endorsement. <br />This endorsement does not affect, in any way, coverage provided under this policy or the <br />cancellation of this policy or the effective date thereof, nor shall this endorsement invest <br />any rights in any entity not insured under this policy. <br />WC990058 (04/11)