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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 ii~l~~~~l~~l~l~~l~~~~~~~~i~~il~l~l~l~~~l~~l~~~~llll~~l~~ll~~~l~~~ 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 111111 VIII VIII VIII Illil VIII VIII IIII VIII INII IIp IVII VIII VIII VIII Illq lil plll lll1111111III IIII ~rhl~lidl~~hu~hlliu~~i~~~~~uhl~diwPilhl~~~~~~~nul o~e~-ozs~s ao'aNV~HSv is Nivw 3 oz 3 Si13~1~~0 S~VIJIjjO 031 313 Sll 4NV~HSV ~O Ally IIII III1111111II~ VIII IIII VIII VIII VIII IIII IAll lllll VIII111111Iln llll lull bll lull VIII VIII IIWI I <<oz ~o a~~r SIx3NSlx3~ £9S0-It ZES IM'aaynempW Olbd 3~JY1SOd Sl1 £9S~t xog Od 031EfOS3ad 3153f103tl 3~1AN35 JINOL1J313 ~SNIiR!~aNSxa~ tlW SSVl11S21ii