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57SBAAZ1255 <br />Citygate Associates, LLC <br />8/29/2016 <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br />NOTICE OF CANCELLATION TO CERTIFICATE HOLDER(S) <br />This policy is subject to the following additional Conditions: <br />0 <br />If this policy is cancelled by the Company, other <br />than for non-payment of premium, notice of such <br />cancellation will be provided at least thirty (30) days <br />in advance of the cancellation effective date to the <br />certificate holder(s) with mailing addresses on file <br />with the agent of record or the Company. <br />If this policy is cancelled by the company for non- <br />payment of premium, or by the insured, notice of <br />such cancellation will be provided within ten (10) <br />days of the cancellation effective date to the <br />certificate holder(s) with mailing addresses on file <br />with the agent of record or the Company. <br />Form SS 12 23 06 11 <br />If notice is mailed, proof of mailing to the last known <br />mailing address of the certificate holder(s) on file with <br />the agent of record or the Company will be sufficient <br />proof of notice. <br />Any notification rights provided by this endorsement <br />apply only to active certificate holder(s) who were issued <br />a certificate of insurance applicable to this policy's term. <br />Failure to provide such notice to the certificate holder(s) <br />will not amend or extend the date the cancellation <br />becomes effective, nor will it negate cancellation of the <br />policy. Failure to send notice shall impose no liability of <br />any kind upon the Company or its agents or <br />representatives. <br />© 2011, The Hartford <br />31545915 116-17 Maetar w/ 16-17 PROF F WC - PP AGG I Margarita Harriman 19/29/2016 4:33:02 PH (PDT) I Page 29 of 32 <br />Page 1 of 1 <br />