HomeMy WebLinkAboutInsurance Cancellation: Airport Taxi Service GATEWAY INSURANCE COMPANY
(847)472-6700
953 AMERICAN LANE., 3RD FLOOR
• SCHAUMBURG, IL 60173 •
NOTICE OF CANCELLATION OF INSURANCE
Named Insured&Mailing Address: Producer:19345
AIRPORT TAXI SERVICE OS EWAI D TAXI&TRANSPORTATION INSURANCE
215 TOLMAN CK RD#21 2225 PACIFIC BOULEVARD,SOUTHEAST,SU
ASHLAND OR 97520 UITE 110
ALBANY OR 97321
•
Policy No.: CA51871P2019
Type of Policy: AUTO LIABILITY AND PHYSICAL DAMAGE
Date of Cancellation: 11/23/2019; 12:01 A.M. Local Time at the mailing address of the Named Insured.
We are cancelling this policy. Your insurance will cease on the Date of Cancellation shown above.
The reason for cancellation is NON PAYMENT OF PREMIUM-$260.74($9 FEE TO BE ASSESSED AT
REINSTATEMENT.)
Your interest in this policy as an "insured"or other party of interest is being cancelled effective 11/23/2019;
12:01 A.M. Local Time at the mailing address of the named insured.
•
Date Mailed:
21st day of Octuber, 2019
Additional Insured
CITY OF ASHLAND
•
20 E MAIN ST
ASHLAND OR 97520 SCOTT WOLLNEY
ORCC1NONPMNT
FORM#CC96970R51995 10212019MYNN
ODEN 3.0.19.10a Copy for Additional Insured Page 1 of 1