HomeMy WebLinkAboutInsurance Certificate: Lalande,Jeffery M LexisNexis is not the Insurance
Company. 0 11
For any and all policy changes you
must contact the Insurance Place
Company,the Carrier or the Stamp
Producer listed in the detail below. Here
If you are not the intended recipient,
please return this card.
2000384-16015046-1-A
LexisNexis/FIRSt
1855 Satellite Blvd, Ste 600
Duluth, GA 30097
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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 12:01 AM local time at the premises,unless
otherwise shown in the item detail provided:
-If you want to receive future notifications electronically,email firstsupport@lexisnexisrisk.com.
-This Insurance notice is sent to you as the Loss Payee/Mortgagee/Additional Interested Party on behalf of the carrier listed.
Policy:73189244162 REASON:Policy Change Created:01/06/2022 Eff.Dte:01/04/2022
Carrier:FARMERS INSURANCE COMPANY OF 0 Pol.From:10/30/2021 Pol.To:04/30/2022
Add.ins.:CITY OF ASHLAND-20 E MAIN ST-ASHLAND-OR-97520
Insured:LALANDE;JEFFREY M-1527 LITHIA WAY-TALENT-OR-97540
Insurance:FARMERS INSURANCE COMPANY OF 0-4680 Wilshire Blvd-Los Angeles-CA-90010
Producer:PAUL VOLZ INS AGY IN-450 SISKIYOU BLVD#5-ASHLAND-OR-97520 541.482.8463
Deducts:Comp:100 Coll:500 Leased Vehicle N State Reg:OR Eff.until cncld:Y
PropDmg:100,000 SLL 100,000/300,000
Vehicle:2010 SUBARU FORESTER 4 JF2SH6CCXAHB02473
FIRSt Id: 21636-I147-16015046-695982581
JAN 0 2 9f9I
Accounts Payable
.
TO OPEN,FOLD AND TEAR AT THIS PERFORATION-
FIRST-CLASS MAIL
LexisNexis/FIRSt ELECTRONIC SERVICE REQUESTED PRESORTED
PO Box 170910 U.S.POSTAGE
Milwaukee,WI 53217-4504 PAID
LEXISNEXIS
January 06,2022
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2000384-16015046-1-A 38298 B1 108
CITY OF ASHLAND
20 E MAIN ST
ASHLAND OR 97520-1814
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