HomeMy WebLinkAboutInsurance Certificate-Cancellcation: Airport Taxi Service
GATEWAY INSURANCE COMPANY
{847) 472-6700
150 NORTHWEST POINT BLVD., 3RD FLOOR
ELK GROVE VILLAGE, IL 60007
NOTICE OF CANCELLATION OF INSURANCE
Named Insured & Mailing Address: Producer:19345
AIRPORT TAXI SERVICE OSWALD TAXI & TRANSPORTATION INSURANCE
SERVICES
215 TOLMAN CK RD #21 2225 PACIFIC BOULEVARD, SOUTHEAST, SU
ASHLAND OR 97520 UITE 209
ALBANY OR 97321
Policy No.: CA25240P2017
Type of Policy: AUTO LIABILITY AND PHYSICAL DAMAGE
Date of Cancellation: 0512512017;12:01 A.M. Local Time at the mailing address of the Named Insured.
We are cancelling this policy. Your insurance will cease on the Date of Cancellation shown above.
The reason for cancellation is NON PAYMENT OF PREMIUM-$349.48($9 FEE TO BE ASSESSED AT
REINSTATEMENT.}
Your interest in this policy as an "insured" or other party of interest is being cancelled effective 05125/2017;
12:01 A.M. Local Time at the mailing address of the named insured.
Date Mailed:
20th day of Apr- , 2017
Additional Insured
CITY OF ASHLAND
20 E MAIN ST
LAND OR 97520 SCOTTWOLLNEY
ORCCINONPMNT
FORM# CC96970R51995 04202017MYNN
ODEN 3.0.17.01a Copy for Additional Insured Page 1 of 1