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COMMERCIAL AUTOMOBILE <br /> <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY . <br />16-02-0303 (Ed. 5-11) Page 1 of 1 <br /> <br />NOTICE OF CANCELLATION <br />SCHEDULED PERSON(S) OR ORGANIZATION(S) <br /> <br /> <br /> <br />This endorsement modifies insurance provided under t he following: <br /> <br />BUSINESS AUTO COVERAGE FORM <br />BUSINESS AUTO PHYSICAL DAMAGE COVERAGE FORM <br />GARAGE COVERAGE FORM <br />TRUCKERS COVERAGE FORM <br />MOTOR CARRIER COVERAGE FORM <br /> <br />With respect to the coverage provided by this endorsement, the provisions of the Coverage Form <br />apply unless modified by this endorsement. <br /> <br /> <br />SCHEDULE <br /> <br />Name of Person(s) or Organization(s): <br /> <br />Address: <br /> <br />Under Common Policy Conditions the following condition is added: <br /> <br />NOTICE OF CANCELLATION --- SCHEDULED PERSON(S) OR O RGANIZATION(S) <br /> <br />When we cancel this policy we will notify the person(s) or organization(s) described in the <br />SCHEDULE at least 30 days (10 days in the event of nonpayment of premium) in advance of the <br />cancellation date. <br /> <br />Any failure by us to notify such person(s) or organization(s) will not: <br /> <br />Impose any liability or obligation of any kind upon us; or <br />Invalidate such cancellation. <br />IF YOU ARE OBLIGATED, PURSUANT TO A WRITTEN CONTRACT OR AGREEMENT, TO <br />PROVIDE PERSONS OR ORGANIZATIONS WITH NOTICE OF CANCELLATION, THEN WE <br />WILL NOTIFY SUCH PERSONS OR ORGANIZATIONS PROVIDED THAT WITHIN 15 DAYS <br />OF THE DATE WE SEND NOTICE OF CANCELLATION TO THE FIRST NAMED INSURED, <br />THE FIRST NAMED INSURED OR PRODUCER OF RECORD PROVIDES US WITH A <br />SPREADSHEET CONTAINING THE NAME, MAILING ADDRESS AND, IF AVAILABLE, E- <br />MAIL ADDRESS OF THE PERSONS OR ORGANIZATIONS. <br /> <br /> <br /> <br /> <br /> <br />Docusign Envelope ID: 0AE19FB4-94DC-42D8-9154-6DA4F0413C5E