HomeMy WebLinkAboutInsurance Cancellation: Field Transportation
NORTHLAND INSURANCE COMPANY
C10 SWETT & CRAWFORD GROUP
2965 EAST TARPON DRIVE, #130
MERIDIAN ID 83642
NaTICE ~F CANCELLATION aF INSURANCE
Named Insured & Mailing Address: Producer: CHOICE ONE INS.
FIELD TRANSPORTATION INC. CHOICE oNE INSURANCE INC.
10815 SW 135TH AVE DBA: DEREK TODD ASSOCIATES OF OREGON
9111 SE SAINT HELENS ST.
BEAVERTON OR 97008 CLACKAMAS OR 97015
Policy No.: WN212603
Type of Policy: AUTO LIABILITY, PD & MOTOR TRUCK CARGO
~ Date of Cancellation: 0712712017;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 to the Retail Agent.
Your interest in this policy as an "insured" or other party of interest is being cancelled effective 0810112017;
12:01 A.M. Local Time at the mailing address of the named insured.
Date Mailed:
21 st day of June, 2017
Additional Insured ~
CITY OF ASHLAND
20 EAST MAIN STREET
ASHLAND OR 97520 ~ ivn~~,E~Fr~~i~E~soni
ORCCINONPMNT
06212017MYNY
FORM# CC96970R51995 Page 1 of 1
~~,~~Er,i , ~7 U~3a Copy for Additional Insured