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POLICY NUMBER: 680-2835L114-TIL-16 ISSUE DATE: 05-23-16 <br /> THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br /> DESIGNATED ENTITY - NOTICE OF <br /> CANCELLATION/NONRENEWAL PROVIDED BY US <br /> This endorsement modifies insurance provided under the following: <br /> ALL COVERAGE PARTS INCLUDED IN THIS POLICY <br /> SCHEDULE <br /> CANCELLATION: Number of Days Notice of Cancellation: 30 <br /> NONRENEWAL: Number of Days Notice of Nonrenewal: 30 <br /> PERSON OR <br /> ORGANIZATION: <br /> ANY PERSON OR ORGANIZATION TO WHOM YOU <br /> HAVE AGREED IN A WRITTEN CONTRACT THAT <br /> NOTICE OF CANCELLATION OF THIS POLICY <br /> WILL BE GIVEN, BUT ONLY IF, 1. YOU SEN <br /> US A WRITTEN REQUEST TO PROVIDE SUCH <br /> NOTICE, INCLUDING THE NAME & ADDRESS OF <br /> SUCH PERSON OR ORGANIZATION, AFTER THE <br /> FIRST NAMED INSURED SHOWN IN THE <br /> DECLARATION RECEIVES NOTICE FROM US OF <br /> CANCELLATION OF THIS POLICY AND 2. WE <br /> RECEIVE SUCH WRITTEN REQUEST AT LEAST <br /> 14 DAYS BEFORE THE BEGINNING OF THE <br /> APPLICABLE NUMBER OF DAYS SHOWN IN <br /> THIS SCHEDULE. <br /> ADDRESS: <br /> THE ADDRESS FOR THAT PERSON OR <br /> ORGANIZATION INCLUDED IN SUCH <br /> WRITTEN REQUEST FROM YOU TO US. <br /> PROVISIONS: <br /> A. If we cancel this policy for any statutorily permit- B. If we decide to not renew this policy for any statu- <br /> ted reason other than nonpayment of premium, torily permitted reason, and a number of days is <br /> and a number of days is shown for cancellation in shown for nonrenewal in the schedule above, we <br /> the schedule above, we will mail notice of cancel- will mail notice of the nonrenewal to the person or <br /> lation to the person or organization shown in the organization shown in the schedule above. We <br /> schedule above. We will mail such notice to the will mail such notice to the address shown in the <br /> address shown in the schedule above at least the schedule above at least the number of days <br /> number of days shown for cancellation in the shown for nonrenewal in the schedule above be- <br /> schedule above before the effective date of can- fore the expiration date. <br /> cellation. <br /> IL T4 00 12 09 ©2009 The Travelers Indemnity Company Page 1 of 1 <br />