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� <br />� <br />� <br />C3 <br />� <br />� <br />� <br />CD <br />CD <br />Ln <br />M <br />+ <br />NOTICE OF CANCELLATION TO CERTIFICATE HOLDER(S) <br />Policy Number: 10 WE AS8914 Endorsement Number: <br />EffecthveDate: 08/I0/I7 Effective hour imthe same mmstated onthe Information Page ufthe policy. <br />Named Insured and Address: OVERLAND PACIFIC AND CUTLER INC <br />3750 SC8ADFEL8 AVE SZE 150 <br />LONG BEACH, CA 90808 <br />This policy is subject to the following additional <br />Conditions: <br />A, <br />In <br />|[ this policy bcancelled bythe Company, other <br />than for non-payment o[premium, notice n[such <br />cancellation will be provided at least thirty (30 <br />days in advance of the cancellation effenUma <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 cancelled by the Company for <br />non-payment of pnamium, or by the inourod, <br />notice of such oenoaUedon will be provided <br />within ten (10)days nfthe cancellation effective <br />deby to the certificate holder(s) with mailing <br />addresses on 0e with the agent of record or the <br />Company. <br />FonnVVC 99 03 94 Printed inU.S.A` <br />Process Date: 08/11/17 <br />If notice is mailed, proof of mailing tothe last known <br />mailing address of the certificate holder(s) 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 e certificate of insurance epp|ioob/o 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 eMeo|ive, 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 orrepresentatives. <br />Policy Expiration Date: 08/10/I8 <br />