Laserfiche WebLink
TRAVELERS WORKERS COMPENSATION <br />AND <br />HARTFORDRD, , CT <br />ONE FO EMPLOYERS LIABILITY POLICY <br />CT 061 83 061 <br />ENDORSEMENT WC 42 06 01 (00) — 001 <br />POLICY NUMBER: XCUB3974T65A <br />TEXAS NOTICE OF MATERIAL CHANGE ENDORSEMENT <br />This endorsement applies only to the insurance provided by the policy because Texas is shown in item 3.A. of the <br />Information Page. <br />In the event of cancelation or other material change of the policy, we will mail advance notice to the person or <br />organization named in the Schedule. The number of days advance notice is shown in the Schedule. <br />This endorsement shall not operate directly or indirectly to benefit anyone not named in the Schedule. <br />SCHEDULE <br />1. NUMBER OF DAYS ADVANCE NOTICE: 30 (or * *) <br />2. NOTICE WILL BE MAILED TO: <br />ANY PERSON OR ORGANIZATION TO WHOM YOU HAVE AGREED IN A <br />WRITTEN CONTRACT THAT NOTICE OF CANCELLATION OR MATERIAL <br />LIMITATIONS OF THIS POLICY WILL BE GIVEN, BUT ONLY IF: <br />1. YOU SEND US A WRITTEN REQUEST TO PROVIDE SUCH NOTICE, <br />INCLUDING THE MANE AND ADDRESS OF SUCH PERSON OR <br />ORGANIZATION, AFTER THE FIRST NAMED INSURED RECEIVES <br />NOTICE FROM US OF THE CANCELLATION OR MATERIAL <br />LIMITATION OF THIS POLICY; AND <br />2. WE RECEIVE SUCH WRITTEN REQUEST AT LEAST 14 DAYS <br />BEFORE THE BEGINNING OF THE APPLICABLE NUMBER OF DAYS <br />** Number of days Notice specified in the Certificate of Insurance to all holders of such certificates. <br />DATE OF ISSUE: 10 -23 -14 ST ASSIGN: <br />