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IL 10 (12/06) OLD REPUBLIC INSURANCE COMPANY <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br />DESIGNATED ENTITY - NOTICE OF CANCELLATION PROVIDED BY US <br />SCHEDULE <br />Number of Days Notice of Cancellation: 30 <br />Person or Organization: <br />All persons or organizations as required by written contract or agreement. <br />Address: <br />The addresses as specified in the written contracts or agreements. <br />Provisions <br />If we cancel this policy for any statutorily permitted reason other than nonpayment of premium, and a <br />number of days is shown for cancellation in the schedule above, we will mail notice of cancellation to the <br />person or organization shown in the schedule above. We will mail such notice to the address shown in <br />the schedule above at least the number of days shown for cancellation in the schedule above before the <br />effective date of cancellation. <br />_ Risk Manag mt DiWefan <br />P I L 028 05 10 REVIEWED S APPRWED BY. <br />® Risk Management Analyst <br />NAtAnv 111azt; 7n GTZT ins ntim i nn?n_ nFrni inn-, 1 <br />