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19.121113 1300HOW(H169 <br />PolicyNumbor '02681004145715 <br />Issued by TARERTY MUTUAL FIRE INSURANCE COMPANY <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY, <br />NOTICE OF CANCELLATION TO THIRD PARTIES <br />This endorsement modifies insurance provided under the following: <br />BUSINESS AUTO COVERAGE PART <br />MOTOR CARRIER COVERAGE PART` <br />GARAGE COVERAGE PART <br />TRUCKERS COVERAGE PART <br />EXCESS AUTOMOBILE LIABILITY INDEMNITY COVERAGE FART <br />SELF -INSURED TRUCKER EXCESS LIABILITY COVERAGE PART <br />COMMERCIAL GENERAL LIABILITY COVERAGE PART <br />EXCESS COMMERCIAL GENERAL LIABILITY COVERAGE PART <br />PRODUCTS/COMPt. ETED OPERATIONS LIABILITY COVERAGE PART <br />LIQUOR LIABILITY COVERAGE PART <br />COMMERCIAL LIABILITY — UMBRELLA COVERAGE FORM <br />A. If we cancel this policy for any reason other than nonpayment of premium, we will notify the persons or <br />organizations shown in the Schedule above. We will sail notice to the email or mailing address listed above <br />at least 10 days, or the number at days lieted above, If any, before the cancellation tnommus effective, In no <br />event does the notice to the third parry exceed the notice to the first named Insured, <br />D. This advance notification of a pending cancellation ofcoverageis intended as a courtesy only. Our failure to <br />provide such advance notification will not "tond the policy cancellation date nor negate cancellation of the <br />pohoy <br />All other forms and conditions of this policy remain unchangvd. <br />LIM 99 01 05 11 Z 2011 Liberty Mutual Group of Companies. All rights reserved. Page I of I <br />Includes copyrighted material of Insurance Setvires Office, Inc., with <br />Its permission. <br />