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tn <br />ID <br />00 <br />M <br />rn <br />C> <br />THIS ENDORSEMENT CHANCES THE POLICY. PLEASE READ IT CAREFULLY. <br />NOTICE OF CANCELLATION TO CERTIFICATE HOLDER(S) <br />Policy Number: 08WEEL0990 Endorsement Number. <br />Effeotive nate; 01 / 13 / 2017 kffective hour is the same as stated on the information rage of the policy. <br />Named insured and Address: 1331 GROUP US <br />25200 TELEGRAPH ED STE 200 <br />SOUTHFIELD, MI 4809 <br />This policy is subject to the following additional <br />Conditions, <br />A. If this pplicy Is cancelled by the Company, other <br />than for non-payment of premium, notice of such <br />cancellation will be prodded at least 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 />B. If this policy is cancelled 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) days 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 />Form WC 99 03 94 Printed in U.S.A. <br />process pate: 01/13/2017 <br />If notice is mailed, proof of mailing to the 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 of notice. <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 tho 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 capon the <br />Company or its agents or representatives, <br />© 2011, The Hartford <br />Policy Expiration: Date: 01/13/2018 <br />