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THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br />Form SL 90 13 10 18 Page 1 of 1 <br />© 2018, The Hartford <br />(May include copyrighted material of Insurance Services Office, Inc., with its permission) <br />NOTICE OF CANCELLATION TO CERTIFICATE HOLDER(S) <br />This policy is subject to the following additional Conditions: <br />A. If this policy is cancelled by the Company, other than for non-payment of premium, notice of such cancellation will be <br />provided at least thirty (30) days in advance of the cancellation effective date to the certificate holder(s) with mailing <br />addresses on file with the agent of record or the Company. <br />B. If this policy is cancelled by the company for non-payment of premium, or by the insured, notice of such cancellation <br />will be provided within ten (10) days of the cancellation effective date to the certificate holder(s) with mailing <br />addresses on file with the agent of record or the Company. <br />If notice is mailed, proof of mailing to the last known mailing address of the certificate holder(s) on file with the agent of <br />record or the Company will be sufficient proof of notice. <br />Any notification rights provided by this endorsement apply only to active certificate holder(s) who were issued a certificate <br />of insurance applicable to this policy’s term. <br />Failure to provide such notice to the certificate holder(s) will not amend or extend the date the cancellation becomes <br />effective, nor will it negate cancellation of the policy. Failure to send notice shall impose no liability of any kind upon the <br />Company or its agents or representatives. <br />POLICY NUMBER: 84SBWBM5WFR <br />Docusign Envelope ID: DA5B5AE8-ECA5-4326-9450-28E3F61DAA1B