HomeMy WebLinkAboutInsurance Cancellation: Steven Fox DBA Fox Toter Service TRAVELERS J16.
Document Management
300 Windsor Street 00869
Hartford,CT 06120
•
•
City of Ashland
20 East Main St
Ashland,OR 97520
NORTHLAND INSURANCE COMPANY
Ti CANCELLATION NOTICE. Please take notice that the Policy designated below,issued to the insured named below,
has been canceled.Your interest under the Policy is canceled effective on the date stated below.
n NOT TAKEN NOTICE. Please take notice that the Insured named below has not accepted the Policy designated below
and therefore no insurance has come into force thereunder.
n AMENDMENT NOTICE. Please take notice that, effective on the date stated below, the Policy designated below has
been amended as follows:
Ti NON-RENEWAL NOTICE. Please take notice that we have advised the insured that this Policy will not be
renewed.
TiREWRITE NOTICE. Please take notice that the Policy designated below has been canceled; however, it is being
rewritten.
POLICY NUMBER: WN312 92 0 LHT ISSUE DATE: 02/07/2022
NAME AND ADDRESS OF INSURED PRODUCER OR AGENT
°' STEVEN FOX DBA FOX TOTER SERVICE OCPL10 CRC INS SERVICES INC
N 10815 SW 135TH AVE
BEAVERTON,OR 97008 ISSUING OFFICE
LL 24P NORTHLAND
m
EFFECTIVE DATE OF THIS NOTICE VEHICLE IDENTIFICATION
rn03/14/2022 (Complete for Auto Policies or Coverages Only)
CD _
o LOCATION _ - --
0
(Complete for Fire Policies or Fire Coverages ONLY)
U
Nan: WRITTEN NOTICE IS HEREBY GIVEN TO YOU AS:
n THE PERSON TO WHOM AN INSURANCE CERTIFICATE WAS ORIGINALLY ISSUED OR A BANK
OR FINANCE COMPANY;
n AN ADDITIONAL INSURED UNDER THE TERMS OF THE POLICY;
n A MORTGAGEE
THIS NOTICE IS GIVEN ONLY BY THE
COMPANY OR COMPANIES WHICH ISSUED
THE POLICY DESIGNATED ABOVE.
CN 00 3A 03 94
Page 1 of 1 ENV-T