HomeMy WebLinkAboutTKH REAL ESTATE HOLDINGS - INSURANCE CERTIFICATEPHILADELPHIA INDEMNITY INSURANCE COMPANY
ONE BALA PLAZA
SUITE 100
BALA CYNWYD PA 19004
NOTICE OF CANCELLATION OF INSURANCE
Named Insured & Mailing Address: Producer: 0021362
TKH REAL ESTATE HOLDINGS, LLC. BROWN &BROWN OF STEAMBOAT SPRINGS
DBA: FORT COLLINS CLUB & TKH FITNESS BP. O. BOX 775043OW
1307 E PROSPECT RD STEAMBOAT SPRINGS CO 80477
FORT COLLINS CO 80525
Reference: N/A
Policy No.: PHPK474786
Type of Policy: PACKAGE INCLUDING AUTO
Date of Cancellation: 03/25/2010; 12:01 A.M. Local Time at the mailing address of the Named Insured.
We are cancelling this policy. Your insurance will cease on the Date of Cancellation shown above.
The reason for cancellation is NONPAYMENT OF PREMIUM $ 5809.00.
Excess premium, if not tendered, will be refunded no more than forty-five days after the effective date of the
termination.
Your interest in this policy as an "insured" or other party of interest is being cancelled effective 03/25/2010;
12:01 A.M. Local Time at the mailing address of the named insured.
Other Party of Interest
CITY OF FORT COLLINS
PO BOX 580
FORT COLLINS CO 80522
Date Mailed:
11 th �ay of March, 2010
it
FRAN DEEMING
COCC36NONPMNT
FORM# CC969711CO52001 03102010MYNY
ODEN 3.0.09.12a Copy for Other Interests Page 1 of 1