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HomeMy WebLinkAboutInsurance Cancellation: Ashland Independent Film ........ ........ ........ ........ - - ........ ........ ........ ........ - ........ - - ........ 210 NOTICE TO L1ENHOLDER/MORTGAGEE/ ADDITIONAL INSURED/CERTIFICATE HOLDER MARYLAND CASUALTY COMPANY (Refer to envelope for insurance company address) CITY OF ASHLAND, ITS AGENTS, DIRECTORS, EMPLOYEES 20 E MAIN STREET ASHLAND OR 97520- POLICY NO, rSURED SOUTHERN OREGON FILM SOCIETY PPS 42329442 DBA: ASHLAND INDEPENDENT FILM AGENT REINHOLDT & O'HARRA INSURANCE INSURING COMPANY MARYLAND CASUAL TV COMPANY REFERENCE TO LIENHOLDER You are hereby notified that the agreement under the Loss Payable Clause payable to you as Lienholder which is part of the above policy, issued to the above insured, has been or will be cancelled or nonrenewed in accordance with the conditions of the policy. Your interest under this policy ceases effectiVe TO MORTGAGEE The Mortgagee Agreement in the above mentioned policy has been or will be cancelled or nonrenewed. Your interest under this policy ceases effective TO ADDITIONAl INSURED: ..x.. This is to notify you that the above captioned policy which names you as an Additional Insured has been or will be cancelled in accordance with the conditions of the policy. Your interest under this policy ceases effective 07/01/2009 = <=> N ... <=> co = IE , TO CERTIFICATE HOlDER This is to notify you that the above captioned policy for the above named insured has been or will be cancelled. Your interest in this policy ceases effective 04/25/2009 Date of Mailing 990028 (3/94) l1llRD PARTY copy