Orange County NC Website
ADVANCE NOTICE OF CANCELLATION OR NON-RENEWAL BY US EXTENDED <br />This endorsement changes the policy to which it is attached effective on the inception date of the policy unless a <br />different date is indicated below. <br />(The following "attaching clause" need be completed only when this endorsement is issued subsequent to preparation of the policy). <br />This endorsement, effective 12:01 AM 01/01/2024 <br />Issued to LAMAR ADVERT IS I NG COMPANY <br />By A I U I NSURANCE COMPANY <br />forms a part of Policy No. WC 080-77-2144 <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br />This endorsement modifies insurance provided under the following: <br />WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY <br />PART SIX -CONDITIONS. D. -Cancellation, 2. is deleted in its entirety and replaced with: <br />We may cancel or non-renew this policy. We must mail or deliver to you not less than the number of days shown below <br />advance written notice stating when the cancellation or non-renewal is to take effect. <br />Except for non-payment of premium, non-payment of loss reimbursement or non-delivery of satisfactory security or <br />collateral when due for which we will provide the advance written notice required by law, we shall not provide less than <br />the number of days advance notice set forth below, or in the policy and endorsements attached thereto, or as required <br />by state law. <br />Mailing that notice to you, at your mailing address shown in Item 1 of the Information Page will be sufficient to prove <br />notice. <br />WC 99 00 39 <br />(Ed. 08/02) <br />Cancellation: 90 Days <br />Non-Renewal: 90 Days <br />Countersigned by _________________ -������ <br />Authorized Representative <br />DocuSign Envelope ID: EB89EFFA-000C-499D-9834-7FD40A2C16FB