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Agency Code Policy Number15-0415-00 112315-35778379 <br />59495 (8-11) <br />It is agreed: <br />This policy is subject to the following condition: <br />If this policy is canceled or nonrenewed, the designated person(s) or organization(s) shown in the SCHEDULE below <br />shall be notified at least: <br />1.10 days prior to the effective date of cancellation if we cancel for nonpayment of premium; or <br />2.The number of days shown in the SCHEDULE prior to the effective date if we cancel for any other reason. <br />If the law of the state in which notice is mailed to requires a longer notice period, we will comply with those requirements. <br />SCHEDULE <br />Number of Days Notice _____________ <br />Name Of Designated Person(s) Or Organization(s)Mailing Address <br />(If no entry appears above, information required to complete this endorsement will be shown in the Declarations <br />as applicable to this endorsement.) <br />All other policy terms and conditions apply. <br />59495 (8-11)Page 1 of 1 <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br />CANCELLATION OR NONRENEWAL <br />DESIGNATED PERSON(S) OR ORGANIZATION(S) <br />OTHER THAN THE NAMED INSURED <br />030 <br />ORANGE COUNTY PO BOX 8181 <br />HILLSBOROUGH NC 27278-8181 <br />DocuSign Envelope ID: 9FB641C3-C7F6-4609-BE4A-71829032AD83