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HomeMy WebLinkAbout130574 LARIMER COUNTY CHILD ADVOCACY CENTER - INSURANCE CERTIFICATEMARKEL INSURANCE COMPANY
888-642-4968
P.O. BOX 2009
GLEN ALLEN VA 23058
NOTICE OF CANCELLATION OF INSURANCE
Named Insured B Mailing Address: .600_� t Producer: 51601
LARIMER COUNTY CHILD ADVOCACY_ CENTER, RAMSGATE INSURANCE INC
5529 S TIMBERLINE ROAD 250 EAST PARK AVENUE
FORT COLLINS CO 80528 LAKE WALES FL 33853
Policy No.: 8502SS390021-0
Type of Policy: PACKAGE
Date of Cancellation: 05/09/2013; 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 Non Payment
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 05/09/2013;
12:01 A.M. Local Time at the mailing address of the named insured.
41sw .ro% ,
Additional Insured
ACCOUNT NO: P10603242
FORT COLLINS POLICE DEPARTMENT
2221 SOUTH TIMBERLINE ROAD
FORT COLLINS CO 80528
Date Ma d:
23rd of April, 201
((AEG �•
BRUCE A. "Y
COCC19NONPMNT
FORM# CC96971 1CO52001 04222013MYYY
ODEN 30. IO. Copy for Additional Insured Page 1 of 1