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CC68021A <br />(Ed, 02/13) <br />NOTICE OF CANCELLATION TO CERTIFICATE HOLDERS <br />It is understood and agreed that: <br />If You have agreed under written contract to provide notice of canceflation to as party to whom the Agtrit of Record has <br />issued a Certificate of Insurance, and ifwe cancel a policy term described on that Certificate of Insurance for arry reason, <br />other than nonpayment of premium, then notice of cancellation will be provided to such Certificateholders at least 30 <br />days in advance of the date cancellation is effective, <br />If notice is mailed, then proof of mailing to the last known mailing address of the Certificateholder on file with the <br />Agent of Rec(-,)rd will be sufficient to prove notice. <br />Any failure by us to notify such persons or organizations will not extend or invalidate such cancellation, or impose any, <br />liability or obligation upon us or the Agent of Record. <br />Attachment Code : D,495276 <br />Certificate ID : 12813936 <br />