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Hartford Casualty Insurance Company <br />Effective 6/1/17 to 6/1/18 <br />THIS ENDORSEUENT CHANGES THE POMY. PLEASE READ IT CAREFULLY. <br />NOTICE OF CANCELLATION TO CERTIFICATE HOLDER($) <br />PolfoyNtofdrar: d8 M =4,1Q's 6natorsaaaenkNonrher: <br />ElttiadtreDane: <br />06/01/17 egep9ima haat in the sane as stated oa'gra hdamagon Page afdaa paiay. <br />NamedrnsuudardAddress: MXV-xtLrace, xga. <br />2717 IMMI IST Asx VM 1600 <br />DAidM. 58 76202 <br />This pogoy is aoblemt to thw Mawing addi9Wnaf <br />A. If this policy is oanoofed by the Company, ckhw <br />than for non-payment of premium, robe of such <br />omweifagan wK be prmvited at least gamy, foal <br />daps in adranoe of the ventefiaifan eyeagve <br />data to the cedlifoate hoMw(s) Wih mailing <br />addresses an His wM iha pliant of regard or its <br />Company. <br />6. It this poltay is otmead=d by the Company far <br />naa-ppaymont of pmmiam, or by the foawred, <br />aottae of such oanwngagan wig he pnwddad <br />whihin tsn (tt) drys Cribs eanoellaaon etaoft" <br />data 'Eo, the certigasle harder(s) vdth moiling <br />addresses an file with the agent of moord or the <br />Company. <br />porf wC 99 0394 Printed kn U.S.A <br />Proalas nate: 06/12117 <br />If nofoe is matted, proof of maging In the fast known <br />rmall0tg address at ffm awliff"le hoWet(sl an file <br />with iaa .agent of raeard ar the companywig be <br />suiiacent pmol ornotaa. <br />Any'mWitoraton riglts provided by gds endorsement <br />.apply ant' to oatre aeofPocate fiakier{s,). who were <br />dewed a wiffkate pf {ruweance Applicahre In this <br />pdiatfa term. <br />Few".. to pwaa suoh rugae to the aerttaste <br />hol'der(s) 'ail not amaend or extend the date the <br />Cancellation bactmas afhatre, nor wti it russet <br />oanaaiagan of the palfay. Pailura to send notice <br />alralf impose oo liability of any kind upon the <br />Company or its aganfaaW mprasantad+ras. <br />PoRty Expiration Date: 05/01110 <br />Q M 1, The Harford <br />REVIEWEt]BY: <br />_4"4 HERE©(A {p4)foP <br />