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WILLIS TOWERS WA TSON <br />26 CENTURY BLVD. <br />6TH FL <br />NASHVILLE, TN 37214 <br />7659 1 MB 0.421 <br />1 •1 11 1 1 1 111 1 1 111111 111 1 •1 1 1 111 •1111 111 1 •1 1 1 1 1 •111 1 1 111 •1 •1 1 1 1 111 1 <br />ORANGE COUNTY PUBLIC TRANSPORTAT ION <br />PO BOX 8181 <br />600 HWY 86 N <br />HILLSBOROUGH, NC 27278-8181 <br />****NOTICE**** <br />In order to expedite distribution of certificates to Certificate Holders, we would like to begin using electronic <br />distribution for future issuances. Also, we would like to remove any certificates that are no longer needed. <br />If you would like to receive electronic copies in the future or no longer require a certificate for this Insured, <br />please note as such below. <br />Please complete this fo rm and submit with a copy of your current certificate to the contact <br />information below: <br />Do you wish to receive renewal certificates: Yes [ <br />Require a hard copy be mailed: Yes [ ) No [ ) <br />Email Address or Fax Number: <br />No [ <br />SR-I D:1 6927441 ______ --------------- <br />If you require additional infor mation or have further questions, please fe el free to contact: <br />Willis To wers Watson Global Certificate Center <br />Email: EDPCERTS@willistowerswatson .com <br />Fax:888-46 7-2378 <br />Phone: 877-945-7378 <br />Please note that it is your responsibil ity to provide up-to-date contact infor mation to assure correct <br />distribution of any future renewal certificates. <br />1of2 7659 <br />Docusign Envelope ID: 30116525-3CA0-44BF-A300-567E64354BC7