HomeMy WebLinkAboutInsurance Certificate: CoA Elected Officials & Officers (2)
LexisNexis is not the Insurance
Company.
For any and all policy changes you Place
must contact the Insurance Company, Stamp
the Carrier or the Producer listed in Here
the detail below.
If you are not the intended recipient,
please return this card.
1297083-12509682-1-A
LexisNexisIFIRSt
2885 Breckinridge Blvd, Ste 400
Duluth, GA 30096
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IMPORTANT: INSURANCE COVERAGE NOTIFICATION(S)
LexisNexis is not the Insurance Company.
-For any and all policy changes you must contact the Insurance Company, Carrier, or Producer listed in the detail below.
-For all cancellation, non-renewal, expiration, and lapse notices -all coverage will cease at 12:01AM local time at the premises, unless
otherwise shown in the item detail provided.
-If you want to receive future notifications electronically, email firstsupport@lexisnexis.com.
-This Insurance notice is sent to you as the Loss Payee/MortgageelAdditional Interested Party on behalf of the carrier listed.
Policy:A2883133 REASON: Lienholder AdditionlRevision Created: 06107/2017 Eff. Dte: 06106!2017
Carrier: SAFECO INS CO AMER Pol. From: 0210512017 Pol. To: 02105(2018
Add.lns.: CITY OF ASHLAND ITS ELECTED OFFICIALS OFFICERS E -20 EAST MAIN STREET-ASHLAND-OR-97520
Insured: MATYAS CHRISTOPHER A -105 ZEPHYR PL-DANVILLE-CA-94526
Insurance: SAFECO INSURANCE-PO BOX 515097-LOS ANGELES-CA-90051
Producer; JOHN C MEYERAGENCY-PO BOX 610-CITRUS HTS-CA-95611 916.444.2246
Deducts: Comp: 1,000 Coll: 1,000 Leased Vehicle: N State Reg: CA LbtylCvg: N Eff. until cncld: N
CSL 500,000
Vehicle: 2006 TOYT HIGHLANDER JTEDW21A160008809
Notes: FIRSt Id: 24740-I169-12509682-930933335
Policy:A2310092 REASON: Lienholder AdditionlRevision Created: 06!07!2017 Eff. Dte: 06/06/2017
Carrier: SAFECO INS CO AMER Pol. From: 02(0612017 Pol. To: 08106/2017
Add.lns.: CITY OF ASHLAND ITS ELECTED OFFICIALS OFFICERS E -20 EAST MAIN ST-ASHLAND-OR-97520
Insured: MOORE RYAN T -177 WESTBURY CIR-FOLSOM-CA-95630
Insurance: SAFECO INSURANCE-PO BOX 515097-LOS ANGELES-CA-90051
Producer: JOHN C MEYERAGENCY-PO BOX 610-CITRUS HTS-CA-95611 916.444.2246
Deducts: Comp: 250 Coll: 500 Leased Vehicle: N State Reg: CA LbtylCvg: N Eff. until cncld: N
CSL 500,000
Vehicle: 2006 TOYT PRIUS JTDK620U263183085
Notes: FIRSt Id: 29740-I169-12509682-930936210
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