HomeMy WebLinkAbout101127 4-K PAINTING AND DRYWALL INC - INSURANCE CERTIFICATEContinental Western Group
Continental Western Insurance Company, Po Box 1594, Des Moines, IA 50306-1594 Page I
Memorandum
DIRECT NOTICE OF CANCELLATION FOR NONPAYMENT OF PREMIUM
Date of Mailing: 06/03/2008
Insured: For Questions or Changes Call:
4K Painting & Drywall Inc COLORADO-BW INSURANCE AGENCY, INC.
2900 Galway 3779 EVERGREEN PKWY
LaPorte, CO 80535-0000 P.O. BOX 3849
EVERGREEN, CO 80437-3849
(303)674-5501
Policy Number Effective Date Expiration ➢ate Policy Type Cancel Date
CNP 2706158-21 07/23/2007 07/23/2008 Contractors Program 06/23/2008
You are hereby given written notice of cancellation of Policy Number CNP 2706158-21 for nonpayment of premium.
You are hereby notified in accordance with the terms and conditions of the policy and in accordance with either
state or federal law, that this policy will cancel on 06/23/2008, at 12:01 A.M. Standard Time.
Any payment received after 06/23/2008, 12:01 A.M. Standard Time will not provide continuous uninterrupted coverage
and will be returned to you or applied towards your account.
This Notice Mailed To:
City of Fort Collins
PO Box 580
Fort Collins, CO 80522
NOIC 08 04
Continental Western Group
Continental Western Insurance Company, Po Do: 1594, Des Moines, IA 50306-1594
CONTINUATION OF COVERAGE NOTICE
This Notice Mailed To:
City of Fort Collins
PO Box 580
Fort Collins, CO 80522
Account Number
10228119
Insured:
4K Painting & Drywall Inc
2900 Galway
LaPorte, CO 80535-0000
Policy Number
CNP 2706158-21
Date of Notice
06 06 2008
For Questions or Changes Call:
COLORADO-BW INSURANCE AGENCY, INC.
3779 EVERGREEN PKWY
P.O. BOX 3849
EVERGREEN, CO 80437-3849
(303)674-5501
Page 1
Memorandum
Your policy is no longer in a late payment status. Please disregard the Direct
Notice of Cancellation for Nonpayment of Premium which was to take effect
06/23/2008.
Your policy has remained in force without interruption in coverage.
Thank you for choosing Continental Western Insurance Company to provide your
insurance protection.
This Notice Mailed To:
City of Fort Collins
PO Box 580
Fort Collins, CO 80522
RSNDR 08 04