HomeMy WebLinkAboutInsurance Certificate/Termination Notice: William Olsen
LIENHOLDER NOTIFICATION
NOTICE OF CHANGE IN POLICY TERMS: The Loss Payable Clause Endorsement providing coverage to lienholders
has been revised. The revised Loss Payable Clause Endorsement for Assigned Risk Policies remains unchanged.
Assigned Risk Policy numbers start with the following digits: 9 or 08. Please go to parhners.geico.com to view a copy of
the revised endorsement or request that a copy be sent to you. You may also contact us at 1-877-347-3281 to request a
copy of the revised endorsement. We are open Monday through Friday 8:30 a.m to 6:30 p.m. EST.
CITY ASHLAND W* GE:iC0
CITY OF ASHLAND ATTN: LIENHOLDER DEPARTMENT
ASHLAND OR 97520 P.O. Box 9094
Macon, GA 31208-9094
1-877-347-3281
Page 1
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CORRESPONDENCE OR INQUIRIES DIRECTED TO INSURER MUST INCLUDE A COPY OF THIS NOTIFICATION
LHNOT (02-12) Visit us at partners.geico.coin to enroll in our online Lienholder Coverage Verification Service.
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ONE GEICO CENTER
MACON, GA 31295-0001
July 17, 2015
CITY ASHLAND POST OFFICE RECEIPT SECURED
CITY OF ASHLAND
ASHLAND OR 97520
NOTICE OF TERMINATION OF PHYSICAL DAMAGE/LIABILITY COVERAGES
POLICYHOLDER/APPLICANT: OLSEN WILLIAM
POLICYHOLDER/CO-INSURED:
POLICY/BINDER NUMBER: 4248055131
VEHICLE: 15 M BENZ
VIN: WD4PE7DCOF5946419
COVERAGES: Liability/Physical Damage
The above referenced policy for which a Loss Payable Clause/
Additional Insured Endorsement was issued to protect your
interest as lienholder/additional insured has terminated. However,
in accordance with the provisions of the Loss Payable Clause/
Additional Insured Endorsement, your interests will be protected
until the termination date set forth in the following paragraph.
Please take notice that all lienholder/additional insured benefits
provided by the Loss Payable Clause/Additional Insured Endorsement
of the above numbered policy will terminate as of 12:01 A.M. local
/standard time on July 28, 2015.
In certain circumstances, you may not have been sent a Loss
Payable Clause/Additional Insured Endorsement.
UNDERWRITING DEPARTMENT
If you have any questions or concerns please contact us at
1-877-347-3281 Mon-Fri 8:30am - 6:30pm EST or visit our
Lienholder Coverage Verification Site at Partners.GEICO.com.