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t9320138all6l}ta"Bfl 69 <br />Policy Numtrer TB2- 681 - 004145 -716 <br />Issued by LIBERTY MUTUAL FIRE INSURANCE COMPANY <br />THIS ENDORSEMENT CHANCES THE POLICY. PLEASE READ IT CAREFULLY. <br />NOTICE OF CANCELLATION TO THIRD PARTIES <br />This endorsement modifies, insurance provided under the following; <br />Busl NESS AUTO COVERAGE PART <br />MOTOR CARRIER COVERAGE PART <br />GARAGE COVERAGE PART <br />TRUCKERS COVERAGE PART <br />INDEMNITY COVERAGE PART <br />6 LIABILITY COVERAGE PART <br />YCOVERAGE FART <br />, LIABILITY COVERAGE PART <br />TIONS LIABILITY COVERAGE PART <br />e on file <br />COVERAGE FORM <br />Schedule <br />A. If we cancel this policy for any reason other, than nonpayment of premium, we will notify the persons or <br />organizations shown in the Schedule above, 1Na will send notice to the email or mailing address listed above <br />at least Sit days, or the number of days listed above, If any. before the cancellation becomes effective. In no <br />event does the notice to the third party excesd the notice to the first named insured. <br />B. This advance notification of a pending cancellation of coverage is intended as a courtesy only, Our failure to <br />provide such advance notification will not extend the policy cancellation date nor nagate: cancellation 6f the <br />policy. <br />All other terms and conditions of this policy remain uaclranged. <br />LIM 99 0105 11 0 2011 Liberty Mutual Group of Companies, All rights reserved. Page f of t <br />includes copyrighted material of Insurance Services Office, Inc,, with <br />its permission. <br />