HomeMy WebLinkAbout128575 GRAY OIL CO INC - INSURANCE CERTIFICATEP/NNACOL
ASSURANCE
CITY OF FORT COLLINS
P.O. BOX 580
FORT COLLINS CO 80522-0580
Cr Y
INSURED:
Gray Oil Cc Inc
804 Denver Ave
Fort Lupton, CO 80621
7501 E Lowry Blvd
Denver, CO 80230-7006
Phone: (303) 361-4000 / (800) 873-7242
Fax: (303) 361-5000 / (888) 329-2251
May 29, 2013
Policy #: 1350372
AGENT:
Association Insurance Marketing, In
PO Box 631610
Highlands Ranch, CO 80163
(303)674-8685
Rescinding Pending Cancellation Notice To Certificate Holder
The policy for:
Policy #: 1350372
Insured: Gray Oil Co Inc
is in good standing with Pinnacol Assurance. The May 22, 2013 notice of cancellation has been rescinded.
As always, Pinnacol Assurance continues to be Colorado's premier workers' compensation insurance company.
If you have any questions regarding this letter, or if I can be of further help, please contact me at the numbers
listed below.
Sincerely,
Nate Mulhauser, Underwriter
Phone: (303)361-4071/(888)852-2241
Fax: (303) 361-5050 / (888) 329-2205
Pinnacol Assurance' 7501 E Lowry Blvtl' Denver, CO 80230
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PINNAA COL
ASSURANCE
CITY OF FORT COLLINS
P.O. BOX 580
FORT COLLINS CO 80522-0580
INSURED:
Gray Oil Cc Inc
804 Denver Ave
Fort Lupton, CO 80621
7501 E Lowry Blvd
Denver, CO 80230-7006
Phone: (303) 361-4000 / (800) 873-7242
Fax: (303) 361-5000 / (888) 329-2251
May 22, 2013
Policy #: 1350372
AGENT:
Association Insurance Marketing, In
PO Box 631610
Highlands Ranch, CO 80163
(303)674-8685
Notice To Certificate Holder Of Pending Cancellation
Pinnacol Assurance would like to inform you that the workers' compensation insurance policy through our
company for:
Policy #: 1350372
Insured: Gray Oil Cc Inc
for whom you currently hold a certificate of workers' compensation insurance, is scheduled E�i�
f
June 12, 2013.
If the insured listed above elects to maintain the policy, we will send you a notice rescinding the cancellation.
As always, Pinnacol Assurance continues to be Colorado's premier workers' compensation insurance company.
If you have any questions regarding this letter, or if I can be of further help, please contact me at the numbers
listed below.
Sincerely,
Nate Mulhauser, Underwriter
Phone: (303)361-4071 / (888) 852-2241
Fax: (303) 361-5050 / (888) 329-2205
Pinnacol Assurance' 7501 E Lowry Blvd - Denver, CO 80230
Page 1 of 1 UB4001 - 05/221201319:06:31 1350372 Updated: 12/ty2006 P719