HomeMy WebLinkAboutInsurance Cancellation: Nicholas & Jasmine Borgatti icantornia)
NAME AND , UNITED FINANCIAL CASUALTY COMPANY KIND OF POLICY:
ADDRESS PO BOX 94739 Commercial Automobile
OF INSURANCE POLICY/APPLICATION/BINDER NO: 00915878-0 Typist:GS
COMPANY CLEVELAND OH 44101 EFFECTIVE DATE OF NOTICE:
7117/2020 12:01 AM
(DATE} (HOUR•STANDARD TIME AT THE ADDRESS OF THE iNSURED{
DATE OF MAILING: 515!2020
NAME AND . NICHOLAS BORGATTI NAME ANDADDRESS OF AGENT/BROKER:
ADDRESS JASMINE BORGATTI
OF INSURED 209 NORTH MOUNT SHASTA BLVD INTERWEST INS AGYIRE
MT.SHASTA CA 96067 PO BOX 8110
CHICO CA 95927
(Specific information concerning the cancellation,nonrenewal
or declination has been given to the Insured.)
TO THE ADDITIONAL INTEREST:
You are notified that the above policy is cancelled,nonrenewed or declined effective on and after the hour and date mentioned above.This notice is being provided to you as you
have been provided with a certificate of insurance on the above policy.Any interest you may have in the above policy is terminated.
AUTHORIZED REPRESENTATIVE
NAME AND • CITY OF ASHLAND
ADDRESS OF 20 E.MAIN ST.
ADDITIONAL
INTEREST ASHLAND OR 97520