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r <br />m <br />0 <br />0 <br />0 <br />N <br />N <br />M <br />kD <br />w <br />0 <br />0 <br />0 <br />N <br />ilk <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br />NOTICE OF CANCELLATION TO CERTIFICATE HOLDER(S) <br />This policy Is subject to the fallowing additional Conditions: <br />A <br />B. <br />If this policy is cancelled by the Company, other <br />than for non-payment of premium, notice of such <br />cancellation will be provided at least thirty (30) days <br />in ddvance of the cancellation effective date to the <br />certificate holder(s) with mailing addresses on f le <br />with the agent of record or the Company. <br />If this policy is cancelled by the company for non- <br />payment of premium, or by the insured, notice of <br />such cancellation will be provided within ten (1U) <br />days of the cancellation effective date to the <br />certificate holder(s) with mailing addresses on file <br />with the agent of record or the Company. <br />Form SS 12 23 06 11 <br />If notice is mailed, proof of mailing to the last known <br />mailing address of the certificate ho(ders) on file with <br />the agent of record or the Company will be sufficient <br />proof of notice. <br />Any notification rights provided by this endorsement <br />apply only to active certificate holder(s) who were issued <br />a certificate of Insurance applicable to this policy's tern. <br />Failure to provide such notice to the certificate holder(s) <br />will not amend or extend the date the cancellation <br />becomes effective, nor will it negate cancellation of the <br />policy. Failure to send notice shall impose no liability of <br />any kind upon the Company or its agents or <br />representatives. <br />Page 1 of 1 <br />® 2011, The Hartford <br />z•d <br />08z6t,96019 XUA 13rNEISb1 dH Lb ".17T 1102 61 0ea <br />