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POLICY NUMBER; 10 As S41202 <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br />This policy is subject to the following additional <br />Conditions: <br />If this policy Is cancelled by the Company, other <br />than for nonpayment of premium, notice of such <br />cancellation will be provided to the certificate <br />holder(s) with mailing addresses on file with the <br />agent of record. Such notice will be provided <br />within 30 days of the Company's receipt of <br />certificate holder(s) information from the agent of <br />record. <br />If notice is mailed, proof of mailing to the last <br />known mailing address of the certificate holder(s) <br />on file with the agent of record will be sufficient <br />proof of notice. <br />Any notification rights provided by this <br />endorsement apply only to active certificate <br />hclder(s) who were issued a certificate of <br />insurance applicable to this policy's term. <br />Failure to provide such notice to the certificate <br />holder(s) will not amend or extend the date the <br />cancellation becomes effective, nor will it negate <br />cancellation of the policy. Failure to send notice <br />shall impose no liability of any kind upon the <br />Company or its agents or representatives. <br />Form 11103 10 06 11 Page 1 of 1 <br />O 2011, The Hartford <br />