This endorsement modifies such insurance as is afforded by the provisions of the policy relating to the following designated insurance:

- [ ] 
- [ ] 
- [ ] 
- [ ] 
- [ ]

In consideration of the premium charged, it is understood and agreed that Condition 6 of the policy (Cancellation) as respects the first paragraph, second sentence, is 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."

This endorsement forms a part of and is for attachment to the following described policy issued by the CNA/INSURANCE company designated therein, 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.

Must Be Completed

| ENDT. NO. | POLICY NO |
| --- | --- |
| 5 | RDX 8936601 |

CNA/insurance

Blank Endorsement
DG-31821-A

Countersigned by
Authorized Agent