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Attachment Code: D660147 Certificate ID: 20958134 <br />PI-CANXAICH-002 (05/11) <br />19:1R24kiIBig] *441,,7i14ki111944:/_1kiN*1119:I=1as] I1WA»W-A-11 =1:7:r_11j1IID _ N411111J4A'w <br />CANCELLATION NOTICE TO SCHEDULED ADDITIONAL INSURED OR <br />CERTIFICATE HOLDER <br />This endorsement modifies insurance provided under the following: <br />COMMERCIAL GENERAL LIABILITY COVERAGE PART <br />PROFESSIONAL LIABILITY COVERAGE PART <br />COMMERCIAL CRIME COVERAGE PART <br />COMMERCIAL INLAND MARINE COVERAGE PART <br />COMMERCIAL PROPERTY COVERAGE PART <br />COMMERCIAL AUTOMOBILE COVERAGE PART <br />SCHEDULE OF ADDITIONAL INSUREDS OR CERTIFICATE HOLDERS <br />Al or CH <br />Additional Insured or Certificate Holder <br />Address <br />CH & Al <br />Any person or organization with whom you have <br />Various <br />greed to provide 30 days prior written notice of <br />ancellation as provided by your insurance broker <br />f such person or organization and that list is <br />rovided to us prior to any such cancellation <br />The following is added to A. CANCELLATION of the Common Policy Conditions of the above applicable <br />coverage part: <br />A. In the event we cancel the policy in accordance with the policy's terms and conditions, we will <br />endeavor to mail written notice of cancellation to Additional Insureds or Certificate Holders, shown in the <br />above SCHEDULE within the time frame listed below. However, failure to mail such notice shall impose <br />no obligation of any kind upon us, our agents or representatives. <br />1. 30 days before the effective date of cancellation if we cancel for any reason other than for non - <br />payment of premium. <br />As respects Additional Insureds, the above cancellation provision applies only when the Additional <br />Insured shown in the above SCHEDULE is added to the policy by a separate additional insured <br />endorsement as the CANCELLATION NOTICE TO ADDITIONAL INSURED OR CERTIFICATE <br />HOLDER does not provide additional insured coverage. <br />Page 1 of 1 <br />