# CANCELLATION - AMENDMENT OF NOTICE #1

| INSURED | POLICY NUMBER |
|---------|---------------|
| PRODUCER | EFFECTIVE DATE |

THE WORDS "THIRTY (30) DAYS" AS STATED IN B.(1) OF CONDITION 4., CANCELLATION., SHOWN IN THE NEW YORK AMENDATORY - FORM #178241-2-88, ARE AMENDED TO READ:

"SIXTY (60) DAYS."

ALL OTHER TERMS AND CONDITIONS OF THIS POLICY REMAIN UNCHANGED.

6/16/92 DC

ONE OF THE FIREMAN'S FUND INSURANCE COMPANIES AS NAMED IN THE POLICY
PRESIDENT 10-X
COUNTERSIGNATURE OF AUTHORIZED AGENT
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This document is an amendment to a cancellation notice for an insurance policy, changing the cancellation period from 30 days to 60 days. The amendment is signed by the president of Fireman's Fund Insurance Companies and countersigned by an authorized agent.