**Document Title: Insurance Policy Supplement**

**Document Type:** Insurance Policy Supplement

**Issuing Company:** CNA

**Policy Number:** RDX 1775213

**Supplement Number:** 5

**Effective Date of Policy:** Not specified (to be determined by the policy's effective date)

**Cancellation Condition Amendment:**
- The condition regarding cancellation has been amended as follows:
  - "This policy may be cancelled by the Company by mailing to the named insured at the address shown in the declarations written notice stating when not less than thirty days thereafter such cancellation will be effective."

**Additional Information:**
- This supplement forms part of and is for attachment to the following described policy issued by the company designated therein.
- It takes effect on the effective date of said policy, unless another effective date is shown below, at the hour stated in said policy and expires concurrently with said policy.

**Signature:**
- Countersigned by an authorized agent.

**Note:** The document appears to be a blank endorsement form, as indicated by the text "BLANK ENDORSEMENT" at the bottom.