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Important Notice to Policyholders <br />U-GU-1194-A CW (08/15) <br />Page 1 of 1 <br />The address for the headquarters of Zurich North America will change after August 1, 2016 due to a relocation of our <br />office in the same city. The new address is: <br />Customer Inquiry Center <br />Zurich North America <br />1299 Zurich Way <br />Schaumburg, IL 60196 <br />1-800-382-2150 <br />For specific questions regarding your policy, please contact your agent or broker. For other questions, you may contact <br />the Customer Inquiry Center of Zurich North America. Any references to post office boxes previously provided remain <br />unchanged. <br />FORMAT IS A SAMPLE OF A BLANK FORM <br />DocuSign Envelope ID: 2D437FD3-F8AA-487E-900D-AD3E72792492