Text · page 54 of 201
Read the whole document on one page (all 201 pages, each with its own heading)
Endorsement Endorsement Effective: Policy No.: Named Insured: Two Year Policy Short Rate Table Endorsement If you cancel this Policy prior to the expiration of the two-year Policy Period shown in Schedule Item 5, the following short rate table will apply to the Total Estimated Policy Premium shown in Schedule Item 12(c): Month When Short Cancellation Rate Effective Percentage 1 13% 2 19% 3 23% 4 27% 5 31% 6 35% 7 39% 8 43% 9 47% 10 51% 11 55% 12 59% 13 63% 14 67% 15 71% 16 75% 17 79% 18 82% 19 85% 20 88% 21 91% 22 94% 23 97% 24 100% Countersigned MIDWEST EMPLOYERS CASUALTY COMPANY Authorized Representative Secretary President This endorsement forms part of the Policy to which attached, effective on the inception date of the Policy unless otherwise stated herein. All other terms and conditions of the Policy remain unchanged. CMB-187 (8-13) Date Printed: Page 54 of 201