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2025-413-E-Human Res-Cotton Commercia-To perform work and or provide labor, services, equipment,machinery, materials, goods, or supplies in the
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2025-413-E-Human Res-Cotton Commercia-To perform work and or provide labor, services, equipment,machinery, materials, goods, or supplies in the
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Last modified
7/17/2025 9:22:43 AM
Creation date
7/17/2025 9:22:26 AM
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Contract
Date
7/3/2025
Contract Starting Date
7/3/2025
Contract Ending Date
7/10/2025
Contract Document Type
Contract
Amount
$6,000.00
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NOTICE OF CANCELLATION TO THIRD PARTIES <br />A. If we cancel this policy for any reason other than nonpayment of premium,we will notify the persons or <br />organizations shown in the Schedule below. We will send notice to the email or mailing address listed below at least <br />10 days,or the number of days listed below,if any,before cancellation becomes effective.In no event does the <br />notice to the third party exceed the notice to the first named insured . <br />B. This advance notification of a pending cancellation of coverage is intended as a courtesy only.Our failure to <br />provide such advance notification will not extend the policy cancellation date nor negate cancellation of the policy . <br />Schedule <br />Name of Other Person(s) <br />/ <br />Organization(s): <br />Per Schedule on file with the <br />broker <br />Email Address or mailing <br />address: <br />Per Schedule on file with the broker <br />Number Days Notice: <br />60 <br />All other terms and conditions of this policy remain unchanged . <br />Issued by Employers Insurance Company of Wausau 15555 <br />For attachment to Policy No.WCC-691-467423-031 <br />Issued to Cotton Holdings, Inc. <br />Effective Date Premium$ <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 /> <br /><br /> <br />Document Ref: N7EW3-SGCO5-ACZIS-EK5UO Page 39 of 41 <br />Docusign Envelope ID: 46E32969-D741-4B7D-842F-E8234CE75451
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