Orange County NC Website
POLICY NUMBER:GENERAL PURPOSE ENDORSEMENT <br />Page <br />Y-630-0R561238-PHX-25 <br /> THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br />DESIGNATED ENTITY - NOTICE OF <br />CANCELLATION/NONRENEWAL PROVIDED BY US <br />IL T4 00 05 19 <br />THIS ENDORSEMENT MODIFIES INSURANCE PROVIDED UNDER THE FOLLOWING: <br />ALL COVERAGE PARTS INCLUDED IN THIS POLICY <br />SCHEDULE <br />PERSON OR ORGANIZATION: <br />ANY PERSON OR ORGANIZATION TO WHOM YOU HAVE AGREED IN A WRITTEN CONTRACT THAT <br />NOTICE OF CANCELLATION OF THIS POLICY WILL BE GIVEN, BUT ONLY IF: <br />1. YOU SEND US A WRITTEN REQUEST TO PROVIDE SUCH NOTICE, INCLUDING <br />THE NAME AND ADDRESS OF SUCH PERSON OR ORGANIZATION, AFTER THE <br />FIRST NAMED INSURED RECEIVES NOTICE FROM US OF THE CANCELLATION <br />OF THIS POLICY; AND <br />2. WE RECEIVE SUCH WRITTEN REQUEST AT LEAST 14 DAYS BEFORE THE <br />BEGINNING OF THE APPLICABLE NUMBER OF DAYS SHOWN IN THIS SCHEDULE. <br />ADDRESS: <br />THE ADDRESS FOR THAT PERSON OR ORGANIZATION INCLUDED IN SUCH WRITTEN <br />REQUEST FROM YOU TO US. <br />IL T8 04 1 <br />Docusign Envelope ID: 03EC0D15-D674-4D12-9ED3-8A2C214EE218