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Policy Number TB2-691-467423-021 <br />Issued by Liberty Mutual Fire Insurance Co. <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br />NOTICE OF CANCELLATION TO THIRD PARTIES <br />This endorsement modifies insurance provided under the following: <br />BUSINESS AUTO COVERAGE <br />PART MOTOR CARRIER <br />COVERAGE PART GARAGE <br />COVERAGE PART TRUCKERS <br />COVERAGE PART <br />EXCESS AUTOMOBILE LIABILITY INDEMNITY COVERAGE <br />PART SELF-INSURED TRUCKER EXCESS LIABILITY <br />COVERAGE PART COMMERCIAL GENERAL LIABILITY <br />COVERAGE PART <br />EXCESS COMMERCIAL GENERAL LIABILITY COVERAGE PART <br />PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART <br />LIQUOR LIABILITY COVERAGE PART <br />COMMERCIAL LIABILITY - UMBRELLA COVERAGE FORM <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 of this endorsement. We will send notice to the email or mailing address <br />listed above at least 10 days, or the number of days listed above, if any, before the cancellation becomes <br />effective. In no event 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 <br />policy. <br />All other terms and conditions of this policy remain unchanged. <br />Schedule <br />Name of Other Person(s) <br />/ Organization(s): <br />Email Address or mailing address: Number Days Notice: <br />Per schedule on file with the broker 5443 Katy Hockley, Katy TX 77493 email:60 <br />Marshac@cottonteam.com <br />LIM 99 01 05 11 © 2011, Liberty Mutual Group of Companies. All rights <br />reserved. <br />Includes <br />copyrighted <br />material of <br />Insurance <br />Services <br />Office, Inc., <br />with <br />its <br />permission. <br />Attachment Code: D580658 Certificate ID: 16927711 <br />    <br /> <br />   <br />Document Ref: N7EW3-SGCO5-ACZIS-EK5UO Page 40 of 41 <br />Docusign Envelope ID: 46E32969-D741-4B7D-842F-E8234CE75451