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Attachment Code: D568039 Certificate ID: 16059509 WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC 99 06 02 B (Ed. 12-13) ADVANCE NOTICE OF CANCELLATION AND NON -RENEWAL ENDORSEMENT It is hereby understood and agreed that all cancellation provisions in the policy addressing the required number of days notice of cancellation by us or non -renewal by us are amended to be not less than: a. 30 days will be given for notice of cancellation for non-payment of premium. *b. 60 days will be given for notice of cancellation for any other reason. c. 90 days will be given for non -renewal. Notwithstanding the previsions above, in no event will the number of days notice for cancellation or for non -renewal be fewer than the number of days required by statute. *not applicable in Arizona, Pennsylvania. This endorsement changes the policy to which it is attached and is effective on the date issued unless otherwise stated. (The information below is required only when this endorsement is issued subsequent to preparation of the policy). Endorsement Effective Insured 2/1/2022 Rincon Consultants, Inc. Policy No. T10220329 Policy Effective Date 2/1/2022 Insurance Company StarStone National Insurance Company WC 99 06 02 B (Ed.12-12) Endorsement No. 5 .�� Rink Mngenod Olddm 70u >Z%rcxaan a;u�rr�r„g�„�„rae;eaaa� ;