Orange County NC Website
Browse       Search
NOTICE OF CANCELLATION TO THIRD PARTIES <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 below. We will send notice to the email or mailing address listed below at least <br />10 days, or the number of days listed below, if any, before cancellation becomes effective. In no event does the <br />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 />Schedule <br />Name of Other Person(s) <br />/ <br />Organization(s): <br />Per Schedule on file with the <br />broker <br />Email Address or mailing <br />address: <br />Per Schedule on file with the broker <br />Number Days Notice: <br />60 <br />All other terms and conditions of this policy remain unchanged . <br />Issued by Employers Insurance Company of Wausau 15555 <br />For attachment to Policy No. WCC-691-467423-031 <br />Issued to Cotton Holdings, Inc. <br />Effective Date Premium$ <br />Endorsement No. <br />WC 99 20 75 <br />Ed. 12/01/2016 <br />© 2016 Liberty Mutual Insurance Page 1 of 1 <br />Attachment Code: D580658 Certificate ID: 16927711 <br />DocuSign Envelope ID: E737BD71-2898-4C23-ADC2-40E10C31F966