HomeMy WebLinkAboutANCORP - INSURANCE CERTIFICATE (6)CANCELLATION/TERMINATION NOTICE
Third Part Copy.
CERTHOLDIfR
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Account No. 293-949-4
Date: 12/03/2009
Insured:
ANCORP
6340 W 56TH AVE STE 7
ARVADA, CO 80002-2752
Cancel Iation/Termination of each policy listed below was requested by the insured.
Place of Issue:
FEDEMMAD
INS URANCEqF
121 East Park Square
PO Box 328
Owatonna, MN 55060
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/Termination Policy
Number Policy Type Date Cancel lation/Term i nation*
9403310 Business Owners Package 11/26/2009 12:01 a.m.
Standard time at the designated business premises.
CITY OF FORT COLLINS Loss Payee/
PO BOX 580 Mortgagee/
FT COLLINS CO 80522 Additional Insured/
Certificate Holder
FEDERATED MUTUAL INSURANCE COMPANY. FEDERATED LIFE INSURANCE COMPANY. FEDERATED SERVICE INSURANCE COMPANY.
MF040 (07-09) HOME OFFICE: OWATONNA, MINNESOTA 55060 1-888-333-4949