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Policy <br />Conditions <br />Endorsement <br />Policy <br />Period MARCH 29, 2022 TOMARCH 29, 2023 <br />MARCH 29, 2022 <br />Effective Date <br />Policy <br />Number <br />D94762558 <br />Insured <br />Qspqfsuz!Sfhjtusbujpo!Dibnqjpot-!MMD <br />Company <br />Name of GREATNORTHERNINSURANCECOMPANY <br />DateIssued MARCH 29, 2022 <br />following <br />ThisEndorsementappliestotheforms: <br />COMMONPOLICYCONDITIONS <br />,following <br />the <br />Under Conditions conditionisadded. <br />Conditions <br />any,,notify <br />When we cancelthispolicyfor reason other non paymentofpremium we will <br />than <br />- <br />Notice OfCancellation <br />(organization(days <br />person s)or s)in <br />shownthe Schedule atleastinadvanceofthecancellation <br />30 <br />To Scheduled Persons <br />date. <br />OrOrganizations When <br />We Cancel <br />Anybynotify()organization() <br />failure us tosuchperson sors willnot: <br />; <br />anyliabilityobligationany <br />inpose or ofkind uponusor <br />• <br />invalidatesuchcancellation. <br />• <br />Schedule <br />obligated,,() <br />youpursuantwritten or agreement provideperson or <br />If are toacontractto s <br />organization(),notify()() <br />s withnoticeofcancellationthen we willsuchperson sor organization s <br />days, <br />providedwithinofthedate we sendnoticeofcancellationtothefirstnamedinsured <br />that 15 <br />containing, <br />thefirstnamedinsured or producerofrecordprovides us withspreadsheetthe name <br />a <br />mailing,,(( <br />ifavailableofpersons)organization s) <br />addressand e mailaddressthe or. <br />- <br />unchanged <br />Allothertermsand <br />conditionsremain. <br />Organizations <br />NoticeOfCancellationToScheduledPersonsOr <br />continued <br />Policy(ExceptPayment) <br />ConditionsNonOfPremium <br />- <br />( <br />Form80029779Ed.311)EndorsementPage1 <br />--- <br /> <br /> <br />