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CC68021A <br />(Ed, 02/13) <br />ON , I I NO <br />-eaison other than nonpayment of premiumi, then notice of cancellation will be provided to such Certificate holders at <br />least 30 days in advance of the date cancellation is effective. <br />If notice is mailed, then proof of mailing to the last known mailing address of the Certificate holder on file with the <br />Agent of Record will be sufficient to prove notice, <br />Any failure by us to notify such persons or organizations will not extend or invalidate such cancellation, or impose any <br />lilalbility or obligation upon us or the Agent of Record. <br />2 <br />--- ---- ........ . . . . ....... . ...... . . ...... <br />CC68021 A (Ed, 0211 3) Pohcy No: 6022647422 <br />Page 1 of 1 Endorsement No: N/A <br />Effective Date 111/09/2016 <br />Insured Name, Copynght CNA All Rights Reserved. <br />