HomeMy WebLinkAbout507924 JACOBS ENGINEERING GROUP INC - INSURANCE CERTIFICATE (6)U
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NOTICE TO OTHERS ENDORSEMENT — SCHEDULE — EMAIL ONLY
Named Insured ,Jacobs Engineering Group Inc.
Endorsement Number
3
Policy Symbol
Policy Number
Policy Period
Effective Date of Endorsement
ISA
I H25307306
07/01/2020 To 07/01/2021
Issued By (Name of Insurance Company)
ACE American Insurance Company
Insert the policy number. The remainder of the information is to be completed only when this endorsement is issued subsequent so the preparation of the policy.
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
A. If we cancel the Policy prior to its expiration date by notice to you or the first Named Insured for any reason other than
nonpayment of premium, we will endeavor, as set out below, to send written notice of cancellation, via such electronic
notification as we determine, to the persons or organizations listed in the schedule that you or your representative
provide or have provided to us (the "Schedule"). You or your representative must provide us with the e-mail address
of such persons or organizations, and we will utilize such e-mail address that you or your representative provided to
us on such Schedule.
B. The Schedule must be initially provided to us within 15 days after:
i. The beginning of the Policy period, if this endorsement is effective as of such date; or
fl. This endorsement has been added to the Policy, if this endorsement is effective after the Policy period
commences.
C. The Schedule must be in an electronic format that is acceptable to us; and must be accurate.
D. Our delivery of the notification as described in Paragraph A. of this endorsement will be based on the most recent
Schedule in our records as of the date the notice of cancellation is mailed or delivered to the first Named Insured.
E: We will endeavor to send such notice to the e-mail address corresponding to each person or organization indicated in
the Schedule at least 30 days prior to the cancellation date applicable to the Policy.
F. The notice referenced in this endorsement is intended only to be a courtesy notification to the persons) or
organization(s) named in the Schedule in the event of a pending cancellation of coverage. We have no legal
obligation of any kind to any such person(s) or organization(s). Our failure to provide advance notification of
cancellation to the person(s) or organization(s) shown in the Schedule shall impose no obligation or liability of any
kind upon us, our agents or representatives, will not extend any Policy cancellation date and will not negate any
cancellation of the Policy.
G. We are not responsible for verifying any information provided to us in any Schedule, nor are we responsible for any
incorrect information that you or your representative provide to us. If you or your representative does not provide us
with a Schedule, we have no responsibility for taking any action under this endorsement. In addition, if neither you
nor your representative provides us with e-mail address information with respect to a particular person or
organization, then we shall have no responsibility for taking action with regard to such person or entity under this
endorsement.
H. We may arrange with your representative to send such notice in the event of any such cancellation.
I. You will cooperate with us in providing the Schedule, or in causing your representative to provide the Schedule.
J. This endorsement does not apply in the event that you cancel the Policy.
ALL-32685 (01111)
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All other terms and conditions of the Policy remain unchanged.
ALL-32665(01/11)
Authorized Representative
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