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ENDORSEMENT # 004 <br />This endorsement, effective 12:01 a.m., May 1, 2014 forms a part of <br />Policy No. RAD500025703 issued to T -MOBILE US, INC. <br />by Greenwich Insurance Company <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY <br />WASHINGTON -CANCELLATION NOTIFICATION <br />TO OTHERS ENDORSEMENT <br />In the event coverage is cancelled for any statutorily permitted reason, other than nonpayment of <br />premium, advanced written notice will be mailed or delivered to person(s) or entity(s) according to the <br />notification schedule shown below: <br />Name of Person(s) or Entity(ies): <br />Per the most current schedule <br />Of Certificate Holders maintained by <br />Lockton Companies and furnished to <br />XL Insurance on a monthly basis <br />Mailing Address: <br />Number of Days <br />Advanced Notice of <br />Cancellation: <br />In the event of cancellation for nonpayment of premium, ten (10) days notice will be given. <br />All other terms and conditions of the Policy remain unchanged. <br />IXI 405 -WA 1210 <br />Miscellaneous Attachment: M481533 <br />Master 11): 1358772, Certificate 11): 13106742 <br />VED AS T® FO's <br />LISA E• STORCK <br />Assistant City Attorney <br />11b <br />30 <br />