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Notification to Others of Cancellation or <br />Nonrenewal <br />Policy No, <br />Eff. Date of Pol. <br />Exp. Date of Pol. <br />Eff. Date of End. <br />Producer No. <br />Add'I. Prem <br />Return Prem. <br />CP0553288002 <br />04/01 /2016 <br />04/01 /2017 <br />04101/2016 <br />0329598 <br />N/A <br />N/A <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br />This endorsement modifies insurance provided under the: <br />Commercial Automobile Coverage Part <br />A. If we cancel or non -renew this Coverage Part by written notice to the first Named Insured for any reason other than <br />nonpayment of premium, we will mail or deliver a copy of such written notice of cancellation or non -renewal: <br />1. To the name and address corresponding to each person or organization shown in the Schedule below; and <br />2. At least 10 days prior to the effective date of the cancellation or non -renewal, as advised in our notice to the first <br />Named Insured, or the longer number of days notice if indicated in the Schedule below. <br />B. If we cancel this Coverage Part by written notice to the first Named Insured for nonpayment of premium, we will mail <br />or deliver a copy of such written notice of cancellation to the name and address corresponding to each person or <br />organization shown in the Schedule below at least 10 days prior to the effective date of such cancellation. <br />C. If notice as described in Paragraphs A. or B. of this endorsement is mailed, proof of mailing will be sufficient proof of <br />such notice. <br />SCHEDULE <br />Name and Address of Other Person(s) / <br />Organ izati on (s): <br />Number of Days Notice: <br />Y <br />PER ATTACHED SCHEDULE OF HOLDERS <br />30 <br />All other terms and conditions of this policy remain unchanged. <br />LR V EWEt1 BIY` r EUMCE & ft Rf-.II11!A Q"G 2 )F,Z <br />U -CA -810-A CW (05/10) <br />Page 1 of 1 <br />Includes copyrighted material of Insurance Services Office, Inc., with its permission. <br />