HomeMy WebLinkAboutInsurance Cancellation: National Hose Testing PRODUCER#: 03 73 07 26E
BLAKE EWING
FARMER SPoBOX 147
INSURANCE SUBLIMITY OR 97385
CITY OF ASHLAND
20 E MAIN ST
ASHLAND OR 97520
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Elite Agent
03490-57-46
10/07/23
00:31:15
60349057460022
RH794
CANCELLATION NOTICE
Regular Proof of Mailing(USPS certificate of mailing)
All otherthan Non-Payment-PC
CM220
03
ADDMDIR6X9 ADDMDIR6
ill;P/1 FARMERS
INSURANCE Notice of Cancellation
This notice
is issued by: FARMERS INSURANCE EXCHANGE
Date: 10/07/23
Properly
Location:
(If other than shown below)
Policy Or Certificate Number(s) Agent Number Cancellation Date
03490-57-46 73-07-26E 12/01/23
Named Insured And Mailing Address:
NATIONAL HOSE TESTING
NATIONAL HOSE TESTING
PO BOX 1024
DALLAS OR 97338-1058
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
have been notified of a more recent cancellation under other provisions of the policy.
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❑ You are hereby notified that all coverage extended to you under the above policy(ies) or certificate(s)on:
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.
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Note to Mortgagee: Your loan with this policyholder may have expired, however, this notice complies with
the provision of our policy.
Loan Number:
Mortgagee or Other Interest:
CITY OF ASHLAND
20 E MAIN ST
ASHLAND OR 97520
25-5096 5-02 MORTGAGEE,BUREAU,COMMISSIONS A5096131
OR OTHER INTEREST COPY