HomeMy WebLinkAboutInsurance Cancellation: Siskiyou Pump Service IncorporatedCANCELLATIONMON RENEWAL NOTICE
Third Party Cop
INSURED
Account Number: 198-246-1
Date: 08/05/2024
Place of Issue:
FEDEMIFED
INSURANCE
Insured: 121 East Park Square
SISKIYOU PUMP SERVICE INCORPORATED PO Box 328
545 N FIR ST Owatonna, MN 55060
MEDFORD, OR 97501-2409
Cancel lation/Nonrenewal of each policy listed below was requested by the insured.
According to contract language in the policies listed below, we will continue to protect your interest as a
mortgagee, additional insured, or a loss payee through the date and time of day shown below.
Policy Time of
Policy Cancellation/Nonrenewal Policy
Number Policy Type Date Cancellation/Nonrenewal'
9338706 Commercial Package Policy 07/12/2024 12:01 a.m.
1810241 Employment Related Pract 07/12/2024 12:01 a.m.
* Standard time at the designated business premises.
ASHLAND PARKS AND RECREATION COMMISSION
CITY OF ASHLAND
340 S PIONEER ST
ASHLAND, OR 97520-2729
Loss Payee/
Mortgagee/
Additional Insured/
Certificate Holder
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