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CNA C <br />(Ed.d. 02/1 02/13) <br />NOTICE OF CANCELLATION TO CERTIFICATE HOLDERS <br />It is understood and agreed that: <br />If you have agreed under written contract to provide notice of cancellation to a party to whom the Agent of Record <br />has issued a Certificate of Insurance, and if we cancel a policy term described on that Certificate of Insurance for any <br />reason other than nonpayment of premium, 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 />liability or obligation upon us or the Agent of Record. <br />CC68021A (Ed. 02/13) Policy No: 5088210281 <br />Page 1 of i Endorsement No: N/A <br />Effective Date: 11/09/2016 <br />Insured Name: Copyright CNA All Rights Reserved. <br />RFVIFWf-_D l3Y: EUPIICE FiErtGDIA (<1G OFW <br />