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118101+100004500109 <br />PolicyNtimber.. AS2- 681 - 004145 -726 <br />Issued By! Liberty Mutual Vire rnsurance ca. <br />THIS ENDOPSENEN:TCHANGF -S THE POLICY. PLEASE READ IT CAREFULLY. <br />NOTICE OF CANCELLATION TO THIRD PARTIES <br />This endorsement modifies Insurance ptovided underthe %llo"; <br />t COVERAG <br />kRIER s <br />i,'VERAGE PART <br />COVERAGE PART <br />I OMOSILE LIABILITY INDEMNITY COVERAGE PART <br />Ifir,N]JA s <br />Saheduta <br />Name of Otluir ParstzntaJIL Email Brass <br />CrgaM�atlan(sl: <br />Per, pchedu;te Qn.fXle Xit# thin on file with clue <br />convo0ay C*Wany . <br />A. if we cancel this policy for any reason other than nonpayment of premium, we will notliy the persons or <br />organizations shown to the Schedule above by omat.as soon as practical after notifying she first Named <br />S. This advance email nptrfication of a pending cancellation of coverage Is intended as a courtesy only. asrr <br />frflure to provide such advance notification will not extend the policy cancellation date nor negate <br />cancellation of the pollry. <br />AD other terms and conditions of this policy remain unchanged. <br />LIM99 02 08 11 tit 2011, Liberty Mutual Group of Companies, All rights reserved. Page I of 1 <br />Includes copyrighted material of insurance Serves Office, Inc. <br />With Its permission. <br />