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DocuSign Envelope ID: E53DCC3C-B8E8-410C-BB50-A039C27BD393 <br /> Blanket Notification to Others of Cancellation ZURICH <br /> or Non-Renewal <br /> Policy No. I Eff. Date of Pol. I Exp. Date of Pol. I Eff. Date of End. I Producer No. I Add'I.Prem I Return Prem. <br /> IBAP 1155419-00 12-31-2018 12-31-2019 12-31-2018 02058-000 <br /> THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br /> This endorsement modifies insurance provided under the: <br /> Commercial Automobile Coverage Part <br /> A. If we cancel or non-renew this Coverage Part by written notice to the first Named Insured, we will mail or deliver <br /> notification that such Coverage Part has been cancelled or non-renewed to each person or organization shown in a <br /> list provided to us by the first Named Insured if you are required by written contract or written agreement to provide <br /> such notification. However, such notification will not be mailed or delivered if a conditional notice of renewal has been <br /> sent to the first Named Insured. Such list: <br /> 1. Must be provided to us prior to cancellation or non-renewal; <br /> 2. Must contain the names and addresses of only the persons or organizations requiring notification that such <br /> Coverage Part has been cancelled or non-renewed; and <br /> 3. Must be in an electronic format that is acceptable to us. <br /> B. Our notification as described in Paragraph A. of this endorsement will be based on the most recent list in our records <br /> as of the date the notice of cancellation or non-renewal is mailed or delivered to the first Named Insured. We will mail <br /> or deliver such notification to each person or organization shown in the list: <br /> 1. Within seven days of the effective date of the notice of cancellation, if we cancel for non-payment of premium; or <br /> 2. At least 30 days prior to the effective date of: <br /> a. Cancellation, if cancelled for any reason other than nonpayment of premium; or <br /> b. Non-renewal, but not including conditional notice of renewal. <br /> C. Our mailing or delivery of notification described in Paragraphs A. and B. of this endorsement is intended as a courtesy <br /> only. Our failure to provide such mailing or delivery will not: <br /> 1. Extend the Coverage Part cancellation or non-renewal date; <br /> 2. Negate the cancellation or non-renewal; or <br /> 3. Provide any additional insurance that would not have been provided in the absence of this endorsement. <br /> D. We are not responsible for the accuracy, integrity, timeliness and validity of information contained in the list provided <br /> to us as described in Paragraphs A. and B. of this endorsement. <br /> All other terms and conditions of this policy remain unchanged. <br /> U-CA-832-A CW(01/13) <br /> Page 1 of 1 <br /> Includes copyrighted material of Insurance Services Office, Inc.,with its permission. <br />