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WORKERS COMPENSATION <br />AND EMPLOYERS LIABILITY <br />COMMERCIAL INSURANCE INSURANCE POLICY <br />ENDORSEMENT <br />Insurance for thiso overage part provided by: <br />ZURICH AMERICAN INSURANCE COMPANY <br />This endorsement changes the insurance as is afforded by the policy relating to the following: <br />Named Insured Policy Number <br />WEBER WATER RESOURCES, LLC WC 3889013 <br />BLANKET NOTIFICATION TO OTHERS OF CANCELLATION <br />THIS ENDORSEMENT IS USED TO ADD THE FOLLOWING TO PART SIX OF THE <br />POLICY. <br />PART SIX — CONDITIONS <br />F. NOTIFICATION TO OTHERS OF CANCELLATION <br />1. IF WE CANCEL THIS POLICY BY WRITTEN NOTICE TO YOU FOR ANY REASON <br />OTHER THAN NONPAYMENT OF PREMIUM, WE WILL DELIVER ELECTRONIC <br />NOTIFICATION TO EACH PERSON OR ORGANIZATION SHOWN IN A SCHEDULE <br />PROVIDED TO US BY YOU. <br />SUCH SCHEDULE: <br />A. MUST BE INITIALLY PROVIDED TO US WITHIN 15 DAYS: <br />AFTER THE BEGINNING OF THE POLICY PERIOD SHOWN IN THE DECLARATIONS; OR <br />AFTER THIS ENDORSEMENT HAS BEEN ADDED TO POLICY; <br />B. MUST CONTAIN THE NAMES AND E—MAIL ADDRESSES OF ONLY THE PERSONS OR <br />ORGANIZATIONS REQUIRING NOTIFICATION THAT THIS POLICY HAS BEEN <br />CANCELLED; <br />C. MUST BE IN AN ELECTRONIC FORMAT THAT IS ACCEPTABLE TO US; AND <br />D. MUST BE ACCURATE. <br />SUCH SCHEDULE MAY BE UPDATED AND PROVIDED TO US BY YOU DURING THE <br />POLICY PERIOD. SUCH UPDATED SCHEDULE MUST COMPLY WITH PARAGRAPHS B. <br />C. AND D. ABOVE. <br />2. OUR DELIVERY OF THE ELECTRONIC NOTIFICATION AS DESCRIBED IN <br />PARAGRAPH 1. OF THIS ENDORSEMENT WILL BE BASED ON THE MOST RECENT <br />SCHEDULE IN OUR RECORDS AS OF THE DATE THE NOTICE OF CANCELLATION IS <br />MAILED OR DELIVERED TO YOU. DELIVERY OF THE NOTIFICATION AS <br />DESCRIBED IN PARAGRAPH 1. OF THIS ENDORSEMENT WILL BE COMPLETED AS <br />SOON AS PRACTICABLE AFTER THE EFFECTIVE DATE OF CANCELLATION TO YOU. <br />3. PROOF OF EMAILING THE ELECTRONIC NOTIFICATION WILL BE SUFFICIENT <br />PROOF THAT WE HAVE COMPLIED WITH PARAGRAPHS 1. AND 2. OF THIS <br />ENDORSEMENT. <br />4. OUR DELIVERY OF ELECTRONIC NOTIFICATION DESCRIBED IN PARAGRAPHS 1. <br />AND 2. OF THIS ENDORSEMENT IS INTENDED AS A COURTESY ONLY. OUR <br />FAILURE TO PROVIDE SUCH DELIVERY OF ELECTRONIC NOTIFICATION WILL NOT: <br />A. EXTEND THE POLICY CANCELLATION DATE; <br />B. NEGATE THE CANCELLATION; OR <br />C. PROVIDE ANY ADDITIONAL INSURANCE THAT WOULD NOT HAVE BEEN PROVIDED <br />IN THE ABSENCE OF THIS ENDORSEMENT. <br />5. WE ARE NOT RESPONSIBLE FOR THE ACCURACY, INTEGRITY, TIMELINESS AND <br />VALIDITY OF INFORMATION CONTAINED IN THE SCHEDULE PROVIDED TO US AS <br />DESCRIBED IN PARAGRAPHS 1. AND 2. OF THIS ENDORSEMENT. <br />ALL OTHER TERMS AND CONDITIONS OF THIS POLICY REMAIN UNCHANGED. <br />U -WC -332-A(07-94) <br />Page 1 <br />Last page <br />