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Policy Number: AS2-691-467423-011 <br />Issued By:Liberty Mutual Fire Insurance Co. <br />THIS ENDORSEMENT CHANGES THE POLIC <br />Y. PLEASE READ IT CAREFULLY. NOTIC <br />E OF CANCELLATION TO THIRD PARTIE <br />S <br />This endorsement modifies insurance provided under the following: <br />BUSINESS AUTO COVERAGE PART <br />MOTOR CARRIER COVERAGE PART <br />GARAGE COVERAGE PART <br />TRUCKERS COVERAGE PART <br />EXCESS AUTOMOBILE LIABILITY INDEMNITY COVERAGE PART <br />SELF-INSURED TRUCKER EXCESS LIABILITY COVERAGE PART <br />COMMERCIAL GENERAL LIABILITY COVERAGE PART <br />EXCESS COMMERCIAL GENERAL LIABILITY COVERAGE PART <br />PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART <br />LIQUOR LIABILITY COVERAGE PART <br />Schedule <br />Name of Other <br />Person(s)/ <br />Organization(s): <br />Email Address or mailing <br />address: <br />Numbe <br />r <br />Days <br />Notice <br />: <br />Per schedule on file with company Per schedule on file with company 60 <br />A.If we cancel this policy for any reason other than nonpayment of premium, we will notify the persons or <br />organizations shown in the Schedule above. We will send notice to the email or mailing address listed above at <br />least 10 days, or the number of days listed above, if any, before the cancellation becomes effective. In no event <br />does the notice to the third party exceed the notice to the first named insured. <br />B.This advance notification of a pending cancellation of coverage is intended as a courtesy only. Our failure to <br />provide such advance notification will not extend the policy cancellation date nor negate cancellation of the policy. <br />All other terms and conditions of this policy remain unchanged. <br />Attachment Code: D580658 Certificate ID: 16927711 <br />DocuSign Envelope ID: E737BD71-2898-4C23-ADC2-40E10C31F966