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Policy Number: 10 WE AS$914 Endorsement Number: <br />Effective Date: 06/01/17 Effective hour is the ommn as stated on the Information Page of the policy. <br />Named Insured and Address: OVERLAND PACIFIC AND CUTLER INC <br />LONG BEACH, CA 90808 <br />This policy is subject to the following additional <br />F-11 <br />If this policy iycancelled bythe Company, other <br />than for non-payment ofpremium, notice ofsuch <br />cancellation will beprovided etleast thirty (30 <br />days in advance of the cancellation effective <br />date to the certificate holder(s) with mailing <br />addresses on file with the agent of record or the <br />Company, <br />If this policy is oenoe||ad by the Company for <br />non-payment of premium, or by the insured, <br />notice of such cancellation will be provided <br />within ten (10)daym ofthe cancellation effective <br />date to the certificate holder(s) with mailing <br />addresses onfile with the agent ofrecord orthe <br />Company. <br />Form WC 99 03 94 Printed in U.S.A. <br />Process Date: 05/30/17 <br />If notice is maNed, proof ofmailing to the last known <br />mailing address of the certificate ho|der(w) on file <br />with the agent of record or the Company will be <br />sufficient proof ofnotice. <br />Any notification rights provided by this endorsement <br />apply only to active certificate holder(s) who were <br />issued a certificate of insurance applicable to this <br />policy's term. <br />Failure to provide such notice to the certificate <br />holder(s) will not amend or extend the date the <br />cancellation becomes effective, nor will it negate <br />cancellation of the policy. Failure to send notice <br />shall impose no liability of any kind upon the <br />Company orits agents cxrepresentatives. <br />Q201.The Hartford <br />� <br />