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POLICY NUMBER: GLD111011 B <br />HDI GLOBAL INSURANCE COMPANY <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br />NOTICE OF CANCELLATION AMENDMENT <br />SCHEDULE <br />Name, Address and E-Mall Address ofdther <br />Person(s) l Organization{s): Number of Days Notice: <br />IL SU 4004(10-10) <br />Per schedule on file with the Company. 60 Days, or as required by contract, <br />whichever is less <br />[If no entry appears above, the information required to complete this endorsement will be shown in the Declarations as <br />applicable to this endorsement.] <br />I. If we cancel this policy by notice to you for any statutorily permitted reason other than nonpayment of premium, we <br />shall endeavor to mail, e-mail or deliver a copy of such written notice of cancellation to the person(s) or <br />organization(s) shown in the Scheduleabove. <br />II. A copy of the notice, per paragraph I. above, will be mailed, e-mailed or delivered: <br />1. To the appropriate addresses corresponding to the person(s) or organizations} shown in the Schedule above; <br />and <br />2. The number of days required for notice of cancellation, as provided in paragraph A.2. of the Common Policy <br />Conditions or as amended by an applicable state cancellation endorsement or by the date as shown in the <br />Schedule above. <br />Ill. Our failure to provide such advance notification to the person(s) or organization(s) shown in the Schedule ofthis <br />endorsement will not extend any policy cancellation date nor negate any cancellation of the policy. <br />All other terms and conditions of this policy remain unchanged. <br />oR,N�F RiskMwugementD'Msian <br />r' REVIEWED & APPROVED BY. <br />x <br />® Risk Management Specialist <br />Page 'I of 1 <br />