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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 partners.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 GEICO
CITY OF ASHLAND ATTN: LIENHOLDER DEPARTMENT
ASHLAND OR 97520 P.O. Box 9094
Macon, GA 31208-9094
1-877-347-3281
Page 1
1101 ICY NUMBER. I NS(IRt 1) NAM[ /ADURI SS : I NSUR[ R:
47i~3U~`. l a i W I I I I Ail O[ Si N i_;i K10 (:A~HAi I Y COMPANY
R[N[WAI PRO(JES UAII: 06/16/16
[I-F: 07/18/16 (]?:01 A.M. SIANUARU I IMI ) 108 E HI 161Y SI UN I1 VIN: WD4P[/1)C0 [5940419 ]5 M B[ N/
IXP: 01 /18/1 / (1?:01 A.M. SIANOW) IIMI-) ASHLAND OR 975?0 1303 COVLRAG[ S: (:011_: 0500/D11)
COMP: 0500/Di1l
LOSS PAYI I : A01) I I IONAI INSURI U: BI : 0025/0050 PI): 00?0
CD
CI IY ASIII ANU (A IY ASHLAND
CITY 0[ ASHLAND POIICY 1) I-RI01): 07/18/10 cch
ASHLAND OR 97520 (12:01 A.M. SIANDARU 11MI 11- IIIL POI ICY CANCI I S, W1_ WII I NOI II Y
10: 01 /18/17 YOU, 111 I IEN110101 R, Al I_I.ASI 10 DAYS °
(17:01 A.M. SIAN1)ARD I1MI BI FORE W1 IIkMINAIE_ Y0UI: INTLRISI. C)
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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.com to enroll in our online Lienholder Coverage Verification Service.