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THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br />This endorsement changes the policy to which it is attached effective on the inception date of the policy unless a <br />different date is indicated below. <br />(The following "attaching clause" need be completed only when this endorsement is issued subsequent to preparation of <br />the policy). <br />This endorsement, effective 12:01 AM 1/1/2015 <br />Issued to AECOM Technology Corporation <br />AECOM USA, Inc. <br />By The Insurance Company of the State of Pennsylvania <br />forms a part of Policy No. SEE ATTACHED ACORD 101 <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 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 Information Page is under an existing <br />contractual obligation to notify a certificate holder(s) when this policy is canceled (hereinafter, the "Certificate Holder(s)") and the <br />Named Insured has provided the Insurer, either directly or through its broker of record, either: <br />(a) the name of the entity shown on the certificate, a contact name at such entity and the U.S. Postal Service mailing address of each <br />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 Insurer, either directly or through its broker of <br />record, that the persons or organizations set forth in the Schedule below, as well as their respective addresses listed, should continue <br />to be a part of the Schedule and, if not, the names of the persons or organizations that should be deleted, <br />the Insurer will provide advice of cancellation (the "Advice") to each such Certificate Holder(s) confirmed by the Named Insured in <br />writing to be correctly a part of the Schedule within 30 days after the Named Insured confirms the accuracy of the Schedule below <br />with the Insurer; provided, however, that if a specific number of days is not stated above, then the Advice will be provided to such <br />Certificate Holder(s) as soon as reasonably practicable after the Named Insured confirms the accuracy of the Schedule below with <br />the Insurer. <br />Proof of the Insurer emailing the Advice, using the information provided and subsequently confirmed by the Named Insured in <br />writing, will serve as proof that the Insurer has fully satisfied its obligations under this endorsement. <br />This endorsement does not affect, in any way, coverage provided under this policy or the cancellation of this policy or the effective <br />date thereof, nor shall this endorsement invest any rights in any entity not insured under this policy. <br />The following definitions apply to this endorsement: <br />1. Named Insured means the first named employer in Item 1 of the Information Page of this policy. <br />2. Insurer means the insurance company shown in the header on the Information Page of this policy. <br />WC 99 00 58 <br />(Ed. 04/11) <br />Attachment Code : D461827 <br />Master ID: 1075642, Certificate ID: 2828881 <br />AECOM TECHNICAL. SERVICES A-2013-034 REVIEWED BY: <br />EUNICE HEREDIA (PG 9 OF 9) <br />