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THIRD PARTY NOTICE TO DESIGNATED PERSON(S) <br /> OR ORGANIZATION(S) <br /> POLICY NUMBER: 52002862 IL 79 90 10 10 <br /> THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br /> This endorsement modifies insurance provided under the following: <br /> COMMERCIAL GENERAL LIABILITY COVERAGE PART <br /> BUSINESS AUTO COVERAGE PART <br /> COMMERCIAL UMBRELLA LIABILITY COVERAGE PART <br /> GARAGE COVERAGE PART <br /> BUSINESSOWNERS COVERAGE PART <br /> The policy provisions relating to cancellation or non- If we cancel the policy for nonpayment of premium, the <br /> renewal as provided in the Condition Section or as number of days advance notice provided to the <br /> amended by any applicable state cancellation endorse- person(s) or organization(s) listed in the Schedule below <br /> ments are modified as follows: will be as required by law. <br /> If we cancel or non-renew this policy for any reason If notice is mailed, proof of mailing to the address shown <br /> other than nonpayment of premium or at the request of in the Schedule below will be sufficient proof of notice. <br /> or on behalf of the Named Insured, we agree that the In no event will coverage extend beyond the actual <br /> individual person(s) or organization(s) listed in the expiration, termination or cancellation of the policy. <br /> Schedule below and the Named Insured will be notified <br /> prior to the effective date of cancellation when such Nothing in this endorsement shall confer additional <br /> notice is required in a written contract. The manner and insured status on any entity scheduled herein. <br /> timing of the notice will be as required by law, or the <br /> number of days shown in the Schedule below, whichever <br /> is greater. A transfer of this policy from one insurance <br /> affiliate to another within the same insurance holding <br /> group shall not be deemed a cancellation, unless <br /> prohibited by law. <br /> Name of Persons or Organization(s) Maillinq Address No.Of Days Notice <br /> Orange County PO BOX 8181 30 <br /> Hillsborough, NC 27278 <br /> Copyright, 2010 Selective Insurance Company of America. All rights reserved. IL 79 90 10 10 <br /> Page 1 of 1 <br />