# NOTICE OF CANCELLATION OR NONRENEWAL (New York)

## KIND OF POLICY:
- EXCESS UMBRELLA

## POLICY NO.:
- SE 607 44 58

## DATE OF MAILING:
- APRIL 4, 1986

## ISSUED THROUGH AGENCY OR OFFICE AT:
- NAM, 99 JOHN STREET, NY, NY 10038
- ATTN: A. LEIGH 4TH FLOOR

## NAME AND Mailing ADDRESS OF INSURED:
- AMERICAN BUSINESS MACHINE CORP.
- ARMONK, NEW YORK 10504

## SEE INFORMATION IN THE "IMPORTANT NOTICES" SECTION BELOW AND ON THE REVERSE SIDE

### CANCELLATION
- Effective at noon / 12:01 A.M. (Standard Time), we hereby cancel the above mentioned policy issued to
- Reason(s) for cancellation:

### Cancellation due to nonpayment of premium and you have already made payment of premium due or will make payment within 15 days after the mailing of this notice. Please contact this company or your agent or broker immediately. (Section 167-a of the New York Insurance Law states that "nonpayment of premium" means the failure of the named insured to discharge any obligation in connection with the payment of premiums on a policy of insurance or any installment of such premium, whether the premium is payable directly to the insurer or its agent, or indirectly under any premium finance plan or extension of credit. The law further provides that payment to the insurer, or to an agent or broker authorized to receive such payment, shall be timely if made within 15 days after the mailing to the insured of a notice of cancellation for nonpayment of premium.)

### Premium Adjustment
- Please return the policy to us with remittance of $ being the amount of earned premium for time it has been in force at date of cancellation.
- As the premium due has not been received by this Company for this insurance, there is none to be returned.

### NON-RENEWAL
- We hereby notify you in accordance with New York law and/or New York Insurance Department Regulation that the above mentioned policy will expire effective MAY 21, 1986, at noon / 12:01 A.M. (Standard Time) at the location of the property involved, and the policy will NOT be renewed.
- Reason(s) for nonrenewal: LOSS OF EXCESS CAPACITY

### IMPORTANT NOTICES
- Consumer Report: Pursuant to fair credit reporting laws, you are informed that the above action is taken wholly or partly because of information contained in a consumer report, copy of which you may inspect and receive by contacting the following consumer reporting agency:

## UNDER LAW, APPLIES TO FIRE OR FIRE AND EXTENDED COVERAGE POLICIES
- THE NEW YORK INSURANCE LAW PROHIBITS INSURERS FROM ENGAGING IN REDLINING PRACTICES BASED UPON GEOGRAPHIC LOCATION OF THE RISK OR THE PRODUCER. IF YOU HAVE REASON TO BELIEVE THAT AN INSURER HAS ACTED IN VIOLATION OF SUCH LAW, YOU MAY FILE YOUR COMPLAINT ON AN OFFICIAL FORM WHICH CAN BE OBTAINED FROM THE STATE OF NEW YORK INSURANCE DEPARTMENT, CONSUMER SERVICES BUREAU, TWO WORLD TRADE CENTER, N.Y., N.Y. 10047 OR YOU MAY PHONE WEEKDAYS BETWEEN 8:45 A.M. AND 4:30 P.M.-N. Y. CITY (212) 488-5630/REMAINDER OF STATE (TOLL FREE) (800)-342-3736
- SEE REVERSE SIDE FOR IMPORTANT INFORMATION

## INSURED'S COPY