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DocuSign Envelope ID:88E356F4-1642-4D25-97A9-483EB39AC1FD <br /> Agency Code 15-0415-00 Policy Number 112315-35778379 <br /> 59495 (8-11) <br /> THIS ENDORSEMENT CHANGES THE POLICY, PLEASE READ IT CAREFULLY. <br /> CANCELLATION OR NONRENEWAL <br /> DESIGNATED PERSON(S) OR ORGANIZATION(S) <br /> OTHER THAN THE NAMED INSURED <br /> It is agreed: <br /> This policy is subject to the following condition: <br /> If this policy is canceled or nonrenewed, the designated person(s)or organization(s) shown in the SCHEDULE below <br /> shall be notified at least: <br /> 1. 10 days prior to the effective date of cancellation if we cancel for nonpayment of premium; or <br /> 2. The number of days shown in the SCHEDULE prior to the effective date if we cancel for any other reason. <br /> If the law of the state in which notice is mailed to requires a longer notice period, we will comply with those requirements. <br /> SCHEDULE <br /> Number of Days Notice 030 <br /> Name Of Designated Person(s) Or Organization(s) Mailing Address <br /> ORANGE COUNTY PO BOX 8181 <br /> HILLSBOROUGH NC 27278-8181 <br /> (If no entry appears above, information required to complete this endorsement will be shown in the Declarations <br /> as applicable to this endorsement.) <br /> All other policy terms and conditions apply. <br /> 59495 (8-11) Page 1 of 1 <br />