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POLICY NUMBER: CUP-4W208814 <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br />DESIGNATED PERSON OR ORGANIZATION – NOTICE OF CANCELLATION OR <br />NONRENEWAL PROVIDED BY US <br />This endorsement modifies insurance provided under the following: <br />AUTO DEALERS COVERAGE FORM <br />BUSINESS AUTO COVERAGE FORM <br />BUSINESSOWNERS PROPERTY COVERAGE SPECIAL FORM <br />COMMERCIAL GENERAL LIABILITY COVERAGE PART <br />COMMERCIAL INLAND MARINE COVERAGE PART <br />COMMERCIAL PROPERTY COVERAGE PART <br />CRIME AND FIDELITY COVERAGE PART <br />CYBERFIRST ESSENTIALS GENERAL PROVISIONS FORM <br />EMPLOYEE BENEFITS LIABILITY COVERAGE PART <br />EMPLOYMENT-RELATED PRACTICES LIABILITY COVERAGE PART <br />EMPLOYMENT PRACTICES LIABILITY+ WITH IDENTITY FRAUD EXPENSE REIMBURSEMENT <br />COVERAGE PART <br />EQUIPMENT BREAKDOWN COVERAGE PART <br />EXCESS FOLLOW-FORM AND UMBRELLA LIABILITY INSURANCE <br />EXCESS (FOLLOWING FORM) LIABILITY INSURANCE <br />FARM COVERAGE PART <br />GARAGE COVERAGE FORM <br />LAW ENFORCEMENT LIABILITY COVERAGE PART <br />LIQUOR LIABILITY COVERAGE PART <br />MANUFACTURERS ERRORS AND OMISSIONS LIABILITY COVERAGE FORM <br />MEDFIRST PRODUCTS/COMPLETED OPERATIONS, ERRORS AND OMISSIONS, AND <br />INFORMATION SECURITY LIABILITY COVERAGE FORM <br />MEDICAL AND BIOTECHNOLOGY PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE <br />FORM <br />MOTOR CARRIER COVERAGE FORM <br />OWNERS AND CONTRACTORS PROTECTIVE LIABILITY COVERAGE PART <br />PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART <br />PUBLIC ENTITY MANAGEMENT LIABILITY COVERAGE PART <br />RAILROAD PROTECTIVE LIABILITY COVERAGE PART <br />SPECIAL PROTECTIVE AND HIGHWAY LIABILITY POLICY – NEW YORK DEPARTMENT OF <br />TRANSPORTATION <br />TRIBAL BUSINESS MANAGEMENT LIABILITY COVERAGE PART <br />SCHEDULE <br />CANCELLATION: Number of Days Notice:____30____ <br />WHEN WE DO NOT RENEW (Nonrenewal): Number of Days Notice:____30_____ <br />PERSON OR <br />ORGANIZATION: <br />ANY PERSON OR ORGANIZATION TO WHOM YOU HAVE AGREED IN A WRITTEN CONTRACT THAT NOTICE OF <br />CANCELLATION OR NONRENEWAL OF THIS POLICY WILL BE GIVEN, BUT ONLY IF: <br />1. YOU SEND US A WRITTEN REQUEST TO PROVIDE SUCH NOTICE, INCLUDING THE NAME AND ADDRESS OF SUCH <br />PERSON OR ORGANIZATION, AFTER THE FIRST NAMED INSURED RECEIVES NOTICE FROM US OF THE <br />CANCELLATION OF THIS POLICY; AND <br />2. WE RECEIVE SUCH WRITTEN REQUEST AT LEAST 14 DAYS BEFORE THE BEGINNING OF THE APPLICABLE NUMBER <br />OF DAYS SHOWN IN THIS ENDORSEMENT. <br />IL T4 33 05 19 © 2019 The Travelers Indemnity Company. All rights reserved.Page 1 of 2 <br />Miscellaneous Attachment: M463713 Certificate ID: 22534362 <br />Docusign Envelope ID: 2ECC4EBC-6A30-4243-9E7F-16636E4F3E4BDocusign Envelope ID: 752D86D7-DF31-404C-B79C-D4F81DF70B21