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HomeMy WebLinkAboutInsurance Notice of Cancellation: ORW Architecture Inc. NOTICE OF CANCELLATION,NONRENEWAL,OR DECLINATION OF INSURANCE (Oregon) NAME AND . THE OHIO CASUALTY INSURANCE COMPANY KIND OF POLICY: ADDRESS 175 Berkeley St Commercial Automobile OF INSURANCE POLICY/APPLICATION/BINDER NO.: BA 26 54943488 COMPANY Boston MA 02116 EFFECTIVE DATE OF NOTICE: 11/23/2025 12:01 AM (DATE) (HOUR-STANDARD TIME AT THE ADDRESS OF THE INSURED) DATE OF MAILING: 12/3/2025 NAME AND . ORW ARCHITECTURE INC ADDRESS 29 S Grape St NAME AND ADDRESS OF AGENT/BROKER: ADDRESSED PROTECTORS INSURANCE,LLC Medford OR 97501 PO Box 4669 Medford OR 97501 (Specific information concerning the cancellation,nonrenewal or declination has been given to the Insured.) TO THE ADDITIONAL INTEREST: You are notified that the above policy is cancelled, nonrenewed or declined effective on and after the hour and date mentioned above.This notice is being provided to you as you have been provided with a certificate of insurance on the above policy.Any interest you may have in the above policy is terminated. AUTHORIZED REPRESENTATIVE NAME AND City of Ashland ADDRESS OF 20 E Main St. ADDITIONAL INTEREST Ashland, OR 97520 (E)GU 8940s (Ed.1-22) Wolters Kluwer I Uniform Forms ©2022 Wolters Kluwer Financial Services,Inc.All rights reserved. ADDITIONAL INTEREST'S COPY Page 1 of 1