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DocuSign Envelope ID:656DF690-72BC-42BC-9E47-7038084D8FFA <br /> 11r liberty <br /> international <br /> Ua rkr4'rherb <br /> Healthcare Professional Liability <br /> III. In addition,it is hereby agreed and understood that,Part X. H., CONDITIONS,of the above referenced policy is <br /> hereby deleted in its entirety and replaced with the following: <br /> H. CANCELLATION <br /> This insurance may be cancelled on the customary short rate basis by the Named Insured at any time by <br /> written notice or by surrender of this insurance to the Company or its authorized representative and the <br /> Company shall refund the paid premium less the earned portion thereof within thirty(30) days of the latter of <br /> the effective date of cancellation or the date of delivery of the Insured's notice of intent to cancel. This <br /> insurance may also be cancelled, with or without the return or tender of the unearned premium, by the <br /> Company or by its authorized representative on its behalf, by sending to the Named Insured, by first-class <br /> registered or certified mail, at the Named Insured's address last known to the Company or its authorized <br /> agent, not less than ninety (90) days written notice stating the specific reason for such cancellation and when <br /> the cancellation shall be effective. In such case the Company shall refund the paid premium less the earned <br /> portion thereof within ten (10) business days after the effective date of cancellation, subject always to the <br /> retention by the Company of any minimum premium stipulated herein(or proportion thereof previously agreed <br /> upon)in the event of cancellation either by the Company or the Named Insured. In case of nonpayment of <br /> premium,only thirty(30)days written notice of cancellation must be given by the Company. <br /> A copy of such notice shall also be sent to the Named Insured's producer,if any. <br /> If this policy has been in effect for less than sixty (60) days and is not a renewal of a policy issued by the <br /> Company,this policy may be cancelled by the Company for any reason. <br /> If this policy has been in effect for sixty(60) days or more or is a renewal of a policy issued by the Company, <br /> cancellation by the Company shall only be effective if based on one or more of the following reasons: <br /> 1. nonpayment of premium; <br /> 2. any act or omission by any Insured or any Insured's representative that constitutes a material <br /> misrepresentation or a nondisclosure of a material fact in obtaining this policy, continuing this policy, or <br /> presenting a Claim under this policy; <br /> 3. any increased hazard or material change in the risk assumed that could not have been reasonably <br /> contemplated by the Company and an Insured at the time of the assumption of any risk insured under <br /> this policy; <br /> 4. any substantial breach of any contractual duty,condition,or warranty that materially affects the insurability <br /> of any risk insured under this policy; <br /> 5. any fraudulent act against the Company by any Insured or any Insured's representative, that materially <br /> affects the insurability of any risk insured under this policy; <br /> 6. Any willful failure by any Insured or any Insured's representative,to institute,after written notice by the <br /> Company, any reasonable loss control measure that materially affects the insurability of any risk insured <br /> under this policy; <br /> 7. any loss of or any substantial change in,the applicable reinsurance; <br /> 8. any Insured's conviction of a crime arising out of any act that materially affects the insurability of the risk; <br /> or <br /> 9. a determination by the North Carolina Insurance Commissioner that the continuation of the policy would <br /> place the Company in violation of any North Carolina law. <br /> 1V. In addition,it is hereby agreed and understood that Part N. I., CONDITIONS, of the above referenced policy is <br /> hereby amended to include the following: <br /> A copy of such notice shall also be provided to the Named Insured's producer. <br /> 4 <br /> HCPL-2026-9000-NC (Ed.04/10) <br />