HomeMy WebLinkAboutInsurance Cancellation: Humphries Family Enterprises Inc Additional Insured Copy
FEDERATED SERVICE INSURANCE COMPANY
Home Office
121 East Park Square
Owatonna, MN 55060
(507) 455-5200
Deletion Of Additional Insured
Name of Insured:
HUMPHRIES FAMILY ENTERPRISES
INC
5550 HILLCREST RD
MEDFORD OR 97504-9035
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This is to notify you that the additional insured endorsement forming a part of the indicated policy naming you
additional insured is hereby cancelled.
INSURED - Please attach this endorsement to your policy.
Interest:
ANY COVERAGE PROVIDED BY THIS ENDORSEMENT APPLIES ONLY WHILE HUMPHRIES
FAMILY ENTERPRISES INC IS SERVICING, INSTALLING, OR DELIVERING
APPLIANCES (WHILE IN THEIR CARE, CUSTODY, OR CONTROL)TO OR FOR THE
ADDITIONAL INSURED/CERTHOLDER.
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If this information is incorrect, please advise us at once. SECRETARY
CITY OF ASHLAND 'nfLI:cillA,J C
90 N MOUNTAIN AVE
ASHLAND OR 97520
PRESIDENT
If you have any questions,
please contact your
Producer.
IL-F-8.9 (09-95) Policy Number: 9284866 Transaction Effective Date: 02-10-2022
Third Party Copy
#BWNDHBS AA081001-0348
#CENTPRTOWATXXXX4#
CITY OF ASHLAND
90 N MOUNTAIN AVE
ASHLAND, OR 97520
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