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POLICY NUMBER: 72UECCN2379 <br />THISENDORSEMENTCHANGESTHEPOLICY.PLEASEREADITCAREFULLY. <br />NOTICEOFCANCELLATIONTOCERTIFICATEHOLDER(S) <br />Thispolicyissubjecttothefollowingadditional <br />Ifnoticeismailed,proofofmailingtothelastknown <br />Conditions: <br />mailingaddressofthecertificateholder(s)onfilewith <br />A. <br />IfthispolicyiscancelledbytheCompany,othertheagentofrecordortheCompanywillbesufficient <br />thanfornonpaymentofpremium,noticeofsuchproofofnotice. <br />cancellationwillbeprovidedatleastthirty(30) <br />Anynotificationrightsprovidedbythisendorsement <br />daysinadvanceofthecancellationeffectivedate <br />applyonlytoactivecertificateholder(s)whowere <br />tothecertificateholder(s)withmailingaddresses <br />issuedacertificateofinsuranceapplicabletothis <br />onfilewiththeagentofrecordortheCompany. <br />policy'sterm. <br />B. <br />IfthispolicyiscancelledbytheCompanyfor <br />Failuretoprovidesuchnoticetothecertificate <br />nonpaymentofpremium,orbytheinsured,notice <br />holder(s)willnotamendorextendthedatethe <br />ofsuchcancellationwillbeprovidedwithin(10) <br />cancellationbecomeseffective,norwillitnegate <br />daysofthecancellationeffectivedatetothe <br />cancellationofthepolicy.Failuretosendnoticeshall <br />certificateholder(s)withmailingaddressesonfile <br />imposenoliabilityofanykindupontheCompanyorits <br />withtheagentofrecordortheCompany. <br />agentsorrepresentatives. <br />FormIH03130611Page1of1 <br />©2011,TheHartford <br /> <br />