HomeMy WebLinkAboutInsurance Cancellation: Humphries Family Enterprises 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
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.
Description of vehicle(s).
If this information is incorrect, please advise us at once.
/44211/
SECRETARY
CITY OF ASHLAND /
20 E MAIN ST �n� 6
ASHLAND OR 97520
PRESIDENT
If you have any questions,
please contact your
Producer.
IL-F-8.6 (07-95) Policy Number: 9284866 Transaction Effective Date: 08-02-2021
Third Party Copy
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BWNDHBS AC001001-0161
CENTPRTPHX8XXXX2##
ITY OF ASHLAND
20 E MAIN ST
ASHLAND, OR 97520