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CALIFORNIA CANCELLATION ENDORSEMENT <br />GRANITE STATE INSURANCE COMPANY <br />Insured: Bender Rosenthal, Inc, <br />Policy Number: WC 019-39-7574 <br />Policy Effective Dates; 06/01/2017 <br />g) Failure to pay additional premium resulting from a retrospective <br />adjustment of premium required by the terms of this policy or any <br />previous policy issued by us; <br />h) Failure to comply with Federal or State safety orders; <br />i) Failure to comply with written recommendations of our designated loss <br />control representatives; <br />j) The occurrence of a material change in the ownership of your business; <br />k) The occurrence of any change in your business or operations that <br />materially increases the hazard for fi•equency or severity of loss; <br />1) The occurrence of any change in your business or operation that requires <br />additional or different classification for premium calculation; <br />m) The occurrence of any change in your business or operation which <br />contemplates an activity excluded by our reinsurance treaties; <br />3. If we cancel your policy for any of the reasons listed in (a) through (g), we <br />will give you 10 days advance written notice, stating when the cancellation <br />is to take effect. Mailing that notice to you at your mailing address shown in <br />Item l of the information page will be sufficient to prove notice, If we <br />cancel your policy for any reasons listed in (h) through (m), we will give you <br />30 days advance written notice; however, we agree that in the event of <br />cancellation and reinsuance of a policy effective upon a material change in <br />ownership or operations, notice will not be provided. <br />4. The policy period will end on the day and hour stated in the cancellation <br />notice, <br />r0, <br />WC 99 0017 Countersigned b / <br />(Ed. 01/01) Authorized Representative <br />REVIEWED BY: EUNICE HEREDIA (PG OF <br />