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M ( (Ed MefA <br />E�d, 02,r1 <br />3) <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 Past known mauling 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. 0113) <br />Page I of 1 <br />Insured Name: <br />f ,J <br />Endorsement No: NIA <br />Effective Date: 11/09!2016 <br />Copyright CNA AMI Rigihts Reserved. <br />