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C�A (3-20472-A(Ed. 10/93) <br /> WORKERS'COMPENSATION AND EMPLOYERS'LIABILITY INSURANCE POLICY <br /> NOTICE OF CANCELLATION OR MATERIAL CHANGE ENDORSEMENT <br /> In the event of cancellation or other material change of the policy, we will mail advance notice to the person or <br /> organization named in the Schedule.The number of days advance notice is shown in the Schedule. <br /> This endorsement shall not operate directly or indirectly to benefit anyone not named in the Schedule. <br /> Schedule <br /> 1. Number of days advance notice: 30 <br /> 2. Notice will be mailed to:Orange County Economic <br /> Development <br /> PO Box 1177 <br /> 131 W.Margaret Lane-Ste 205 <br /> Hillsborought,NC 27278 <br /> N <br /> Q <br /> N <br /> r <br /> r <br /> 0 <br /> 0 <br /> N <br /> O <br /> O <br /> Q <br /> T <br /> G-20472-A Page 1 of 1 <br /> (Ed. 10/93) <br />