Laserfiche WebLink
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br /> NOTICE OF CANCELLATION TO CERTIFICATE HOLDER(S) <br /> Policy Number: 52WEOL6H8D Endorsement Number: - <br /> Effective Date:06/30/2021 Effective hour is the same as stated on the Information Page of the policy. <br /> Named Insured and Address: <br /> ANY PERSON OR ORGANIZATION TO WHOM YOU HAVE AGREED IN A WRITTEN AGREEMENT OR CONTRACT. <br /> This policy is subject to the following additional If notice is mailed, proof of mailing to the last known <br /> Conditions: mailing address of the certificate holder(s) on file <br /> A. If this policy is cancelled by the Company, other with the agent of record or the Company will be <br /> than for non-payment of premium, notice of such sufficient proof of notice. <br /> cancellation will be provided at least thirty (30) Any notification rights provided by this endorsement <br /> days in advance of the cancellation effective apply only to active certificate holder(s) who were <br /> date to the certificate holder(s) with mailing issued a certificate of insurance applicable to this <br /> addresses on file with the agent of record or the policy's term. <br /> Company. Failure to provide such notice to the certificate <br /> B. If this policy is cancelled by the Company for holder(s) will not amend or extend the date the <br /> non-payment of premium, or by the insured, cancellation becomes effective, nor will it negate <br /> notice of such cancellation will be provided cancellation of the policy. Failure to send notice <br /> within ten (10) days of the cancellation effective shall impose no liability of any kind upon the <br /> date to the certificate holder(s) with mailing Company or its agents or representatives. <br /> addresses on file with the agent of record or the <br /> Company. <br /> Form WC 99 03 94 Printed in U.S.A. <br /> Process Date:06/30/2021 Policy Expiration Date: 06/30/2022 <br /> ©2011, The Hartford <br />