HomeMy WebLinkAboutInsurance Certificate - Cancellation Notice: Ashland Sanitary Service
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Oregon
CANCELLA TION NOTICE
1201 NE Lloyd Blvd. #360
P. O. Box 12053
Portland, OR 97232
(503) 287-6000
(800) 926-CBIC
(503) 287-6100 FAX
INSURANCE
TO: CITY OF ASHLAND
20 EAST MAIN
ASHLAND, OR 000097520
OBLIGEE CERTIFIED
MAlL NO:
OBLIGEE:
CITY OF ASHLAND
20 EAST MAIN
ASHLAND, OR 000097520
PRINCIPAL CERTIFIED
. - -MAILNO:
LICENSEEIPRINCIP AL :
ASHLAND SANITARY SERVICE, INC.
170 OAK ST
AGENT:
KBI INSURANCE
P.O. BOX 888
TUALATlN, OR 97062.
ASHLAND, OR 97520
OWNERSIP ARTNERS/OFFICERS :
GARY R RIGOTTI
RUSSELL K CHAPMAN
BOND NUMBER: 807403
DATE OF BOND: 3I-Mar-92
PENAL SUM: $25,000.00
OBLIGEE REFERENCE NO.:
DESCRIPTION:
PORTLAND: OUTSIDE GARBAGE COLLECTORS
Contractors Bonding and Insurance Company hereby cancels the above referenced bond,
cancellation to be effective IS-Jan-IO or if such effective date does not provide for a
sufficient number of days notice, as required, then upon the earliest date permitted. The
issuance of this Cancellation Notice shall not, however, extend the effective date of
cancellation if such bond has been cancelled upon an earlier date under the provisions of
governing law or of said bond.
FOR OBLIGEE USE ONLY
CANCELLA nON ACKNOWLEDGMENT
(Please sign duplicate of this Notice and return to
Surety)
By:
Date:
Dated: 15-Dec-09
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