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POLICY NUMBER: 680-2J821887 ISSUE DATE: 05/22/2023 <br /> THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br /> DESIGNATED PERSON OR ORGANIZATION - NOTICE OF <br /> CANCELLATION OR NONRENEWAL PROVIDED BY US <br /> This endorsement modifies insurance provided under the following: <br /> ALL COVERAGE PARTS INCLUDED IN THIS POLICY <br /> SCHEDULE <br /> CANCELLATION: Number of Days Notice: 30 <br /> WHEN WE DO NOT RENEW(Nonrenewal): Number of Days Notice: 30 <br /> PERSON OR <br /> ORGANIZATION: <br /> ANY PERSON OR ORGANIZATION TO WHOM YOU <br /> HAVE AGREED IN A WRITTEN CONTRACT THAT <br /> NOTICE OF CANCELLATION OR NONRENEWAL OF THIS POLICY <br /> WILL BE GIVEN, BUT ONLY IF: <br /> 1. YOU SEND US A WRITTEN REQUEST TO <br /> PROVIDE SUCH NOTICE, INCLUDING THE <br /> NAME AND ADDRESS OF SUCH PERSON OR <br /> ORGANIZATION, AFTER THE FIRST NAMED <br /> INSURED RECEIVES NOTICE FROM US OF <br /> THE CANCELLATION OR NONRENEWAL OF THIS POLICY; AND <br /> 2. WE RECEIVE SUCH WRITTEN REQUEST AT <br /> LEAST 14 DAYS BEFORE THE BEGINNING OF <br /> THE APPLICABLE NUMBER OF DAYS SHOWN <br /> IN THIS SCHEDULE. <br /> ADDRESS: <br /> THE ADDRESS FOR THAT PERSON OR ORGANIZ- <br /> ATION INCLUDED IN SUCH WRITTEN REQUEST <br /> FROM YOU TO US. <br /> PROVISIONS B. If we do not renew this policy for any legally <br /> A. If we cancel this policy for any legally permitted permitted reason other than nonpayment of <br /> reason other than nonpayment of premium, and a premium, and a number of days i5 shown for <br /> number of days is shown for Cancellation in the When We Do Not Renew (Nonrenewal) in the <br /> Schedule above, we will mail notice of Schedule above, we will mail notice of <br /> cancellation to the person or organization shown nonrenewal to the person or organization shown <br /> in such Schedule. We will mail such notice to the in such Schedule. We will mail such notice to the <br /> address shown in the Schedule above at least the address shown in the Schedule above at least the <br /> number of days shown for Cancellation in such number of days shown for When We Do Not <br /> Schedule before the effective date of cancellation. Renew (Nonrenewal) in such Schedule before the <br /> effective date of nonrenewal. <br /> IL T4 00 05 19 ©2019 The Travelers Indemnity Company.All rights reserved. Pagc 1 of 1 <br />