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Attachment Code: D522252 Certificate ID: 16289289 <br />Notification to Others of Cancellation <br />Policy No. <br />Eft: Date of Pol. <br />Exp. Date of Pol. <br />Eff. Date of End. <br />Producer No. <br />AddT Prem <br />Return Prem. <br />47-GLO-307584 <br />5/1/2021 <br />5/1/2022 <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br />This endorsement modifies insurance provided under the: <br />Commercial General Liability Coverage Part <br />Liquor Liability Coverage Part <br />Products/Completed Operations Liability Coverage Part <br />A. If we cancel this Coverage Part(s) by written notice to the first Named Insured for any reason other than nonpayment of <br />premium, we will mail or deliver a copy of such written notice of cancellation: <br />1. To the name and address corresponding to each person or organization shown in the Schedule below; and <br />2. At least 10 days prior to the effective date of the cancellation, as advised in our notice to the first Named Insured, <br />or the longer number of days notice if indicated in the Schedule below. <br />B. If we cancel this Coverage Part(s) by written notice to the first Named Insured for nonpayment of premium, we will mail <br />or deliver a copy of such written notice of cancellation to the name and address corresponding to each person or <br />organization shown in the Schedule below at least 10 days prior to the effective date of such cancellation. <br />C. If notice as described in Paragraphs A. or B. of this endorsement is mailed, proof of mailing will be sufficient proof of <br />such notice. <br />SCHEDULE <br />Name and Address of Other Person(s) / Organization(s): <br />Number ofDays Notice: <br />Those persons and organizations as stated in a certificate of <br />30 <br />Insurance, on file with the insurer, as of the date of <br />Cancellation. <br />All other terms and conditions of this policy remain unchanged. <br />Includes copyrighted material of Insurance Services Office, Inc., with its permissioRA <br />n�D <br />iAsiun F <br />Jy 1° REVIEWED &APPROVED SY: <br />. <br />h` --� Rusk Pjanagement Analyst <br />