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DocuSign Envelope ID: B4147DBA-A745-4301-8830-4D6AA065FFFF <br /> Endorsement# 09 <br /> Notification to Others of Cancellation, Nonrenewal or <br /> Reduction of Insurance Z U R I C H <br /> Policy No. Eff.Date of Pol. Exp.Date of Pol. Eff.Date of End. Producer Add'I Prem. Return Prem. <br /> U C 2791382-22 04/01/2019 04/01/2020 04/01/2019 80062000 <br /> Named Insured and Mailing Address: Producer: <br /> BONITZ, INC. WILLIS OF TN DBA WILLIS OF SC <br /> 645 ROSEWOOD DR PO BOX 2827 <br /> P.O. Box 82 COLUMBIA, SC 29202-2827 <br /> COLUMBIA, SC 29201-4603 <br /> THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br /> The following is added to SECTION VI. CONDITIONS: <br /> Notification to Others of Cancellation, Nonrenewal or Reduction of Insurance <br /> a. If we cancel or non-renew this policy by written notice to the first named insured for any reason other than <br /> nonpayment of premium, we will mail or deliver a copy of such written notice of cancellation or non-renewal: <br /> (1) To the name and address corresponding to each person or organization shown in the SCHEDULE below; and <br /> (2) At least 10 days prior to the effective date of the cancellation or non-renewal, as advised in our notice to the first <br /> named insured, or the longer number of days notice if indicated in the SCHEDULE below. <br /> b. If we cancel this policy by written notice to the first named insured for nonpayment of premium, we will mail or deliver <br /> a copy of such written notice of cancellation to the name and address corresponding to each person or organization <br /> shown in the SCHEDULE below at least 10 days prior to the effective date of such cancellation. <br /> c. If coverage afforded by this policy is reduced or restricted, except for any reduction of Limits of Insurance due to <br /> payment of claims, we will mail or deliver notice of such reduction or restriction: <br /> (1) To the name and address corresponding to each person or organization shown in the Schedule below; and <br /> (2) At least 10 days prior to the effective date of the reduction or restriction, or the longer number of days notice if <br /> indicated in the Schedule below. <br /> d. If notice as described in Paragraphs a., b. or c. of this endorsement is mailed, proof of mailing will be sufficient proof <br /> of such notice. <br /> SCHEDULE <br /> Name and Address of Other Person(s)/ <br /> Organization(s): Number of Days Notice: <br /> Cert Holder 30 <br /> At the address provided by the cert holder <br /> on Accord 25 Ed. 05-10 <br /> ALL OTHER TERMS AND CONDITIONS OF THIS POLICY REMAIN UNCHANGED. <br /> U-UMB-697-A(05/10) <br /> Includes copyrighted material of Insurance Services Office,Inc.,with its permission. Page 1 of 1 <br />