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Attachment Code:D568039 Certificate ID: 16059509 <br /> WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC 99 06 02 B <br /> (Ed. 12-13) <br /> ADVANCE NOTICE OF CANCELLATION AND NON-RENEWAL ENDORSEMENT <br /> It is hereby understood and agreed that all cancellation provisions in the policy addressing the required <br /> number of days notice of cancellation by us or non-renewal by us are amended to be not less than: <br /> a. 30 days will be given for notice of cancellation for non-payment of premium. <br /> 'b. 60 days will be given for notice of cancellation for any other reason. <br /> c. 90 days will be given for non-renewal. <br /> Notwithstanding the previsions above, in no event will the number of days notice for cancellation or for <br /> non-renewal be fewer than the number of days required by statute. <br /> *not applicable in Arizona, Pennsylvania. <br /> This endorsement changes the policy to which it is attached and is effective on the date issued unless otherwise stated. <br /> (The information below is required only when this endorsement is issued subsequent to preparation of the policy). <br /> Endorsement Effective 2/1/2024 Policy No.T10220329 Endorsement No.5 <br /> Insured Rincon Consultants,Inc. Policy Effective Date 2/1/2024 <br /> Insurance Company StarStone National Insurance Company <br /> WC 99 06 02 B <br /> (Ed. 12-12) <br /> Y_-,<t� Risk Managentat±Division <br /> +/ \a REVIEWED&APPROVED BY: <br /> ! /44^fg ALIAi416 le <br /> iiMMICEt <br /> Risk Management Specialist <br />