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WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC 99 <br /> 20 74 <br /> (Ed. 12-16) <br /> NOTICE OF CANCELLATION TO THIRD PARTIES <br /> A. If we cancel this policy for any reason other than nonpayment of premium, we will <br /> notify the persons or organizations shown in the Schedule below by email as soon as <br /> practical after notifying the first Named Insured. <br /> B. This advance email notification of a pending cancellation of coverage is intended as <br /> a courtesy only. Our failure to provide such advance notification will not extend the <br /> policy cancellation date nor negate cancellation of the policy. <br /> Schedule <br /> Name of Other Person(s)/Organization(s): <br /> As required by written contract or agreement 30 Days <br /> All other terms and conditions of this policy remain unchanged. <br /> Issued by Liberty Insurance Corporation <br /> For attachment to Policy No. WA7-64D-444950-010 Effective Date <br /> 06/01/2020 Premium $ <br /> Issued to HDR Engineering, Inc. <br />