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4,1 IN <br />This endorsement, effective 12:01 a.m., May 1, 2016 forms a part of <br />Policy No. RGD5000259-05 issued to T -MOBILE US, INC. <br />by Greenwich Insurance Company <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY <br />WASHINGTON - CANCELLATION NOTIFICATION <br />TO OTHERS ENDORSEMENT <br />In the event coverage is cancelled for any statutorily permitted reason, other than nonpayment of <br />premium, advanced written notice will be mailed or delivered to person(s) or entity(ies) according to the <br />notification schedule shown below: <br />Name of Perscn(s) or Entity(ies� <br />Per the most current schedule <br />Of Certificate Holders maintained by <br />Lockton Companies and furnished to <br />XL Insurance on a monthly basis <br />Mailing Address: <br />Number of Days <br />Advanced Notice of <br />Cancellation: <br />In the event of cancellation for nonpayment of premium, ten (10) days notice will be given. <br />All other terms and conditions of the Policy remain unchanged. <br />IXI 405 -WA 1210 <br />Miscellaneous Attachment : M481510 <br />Master tD; 1358772, Certificate 1D; 14001710 <br />30 <br />oe� ed by'. <br />eU A <br />a <br />eN ds <br />