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CC68021A <br />(Ed, 02/13) <br />-00 , A <br />K;WVWV;99 <br />reason other than nonpayment of premium, then notice of cancellation will be provided to such Certificate holders at <br />least 30 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 Certificate ho,lder on file with the <br />Agent of Record will be sufficient to prove notice. <br />liabifity or obIlgation upon us or the Agent of Record. <br />CC68021 A (Ed. 02/13) <br />Page 1 of 1 <br />Insured Name-. <br />Copyright CNA All Rights Reserved. <br />Policy No: 6020541619 <br />Endorsement No: N/A <br />. - w,A in n 4 r <br />