HomeMy WebLinkAboutInsurance Cancellation: 3J Consulting Inc FARMERS
INSURANCE Notice of Cancellation
This notice
is issued by: MID—CENTURY INSURANCE COMPANY
Date: 08/19/23
Property
Location:
(If other than shown below)
Policy Or Certificate Number(s) Agent Number Cancellation Date
60671-22-97 73-33-33M 08/17/23
Named Insured And Mailing Address:
3J CONSULTING INC
3J CONSULTING
9600 SW NIMBUS AVE
BEAVERTON OR 97008-7347
Notice of Cancellation Of
Mortgagee Or Other Interest
® You are hereby notified, that all coverage extended to you under the above listed policy is cancelled effective
on the cancellation date shown above at the time specified in the Declarations of this policy, unless you
o have been notified of a more recent cancellation under other provisions of the policy.
0
rn
m
rn 0 You are hereby notified that all coverage extended to you under the above policy(ies)or certificate(s)on:
CO
CO
is cancelled effective on the cancellation date shown above at the time specified in the Declarations of this
policy,unless you have been notified of a more recent cancellation under other provisions of the policy.
oNote to Mortgagee: Your loan with this policyholder may have expired, however, this notice complies with
0 the provision of our policy.
N
N
Loan Number:
Mortgagee or Other Interest:
CITY OF ASHLAND
20 E MAIN ST •
ASHLAND OR 97520
25-5096 5-02 MORTGAGEE,BUREAU,COMMISSIONS AS096131
OR OTHER INTEREST COPY
PRODUCER#: 03 73 33 33M •
a' JOSEPH MOSS
FARMERS 12550 SE 93RD AV#230
INSURANCE CLACKAMAS OR 97015
CITY OF ASHLAND
20 E MAIN ST
ASHLAND OR 97520
O
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0
0
N
CO
CO
0
N
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N
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60671-22-97 60671-22-97
08/19/23
02:27:01
6067122970023
AHU75
CANCELLATION NOTICE
CM220
03
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