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HomeMy WebLinkAbout128575 GRAY OIL COMPANY INC - INSURANCE CERTIFICATE (2)CANCELLATION/TERMINATION NOTICE Page 1 of 1 Insured: GRAY OIL COMPANY INC 804 DENVER AVE FORT LUPTON, CO 80621 12ES15 Third Partyy Copy CERTHOLDER Account No.316-453-0 Date: 10/15/2013 Cancel Iation/Termination of each policy listed below was requested by the insured. Place of Issue: MEWED INSURANCE7' 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 Cancellation/Termination' 0640229 Commercial Package Policy 10/01/2013 12,01 a.m. 0640235 Umbrella 10/01/2013 12:01 a.m. Standard time at the designated business premises. CITY OF FORT COLLINS PO BOX 580 FORT COLLINS, CO 80522-0580 Loss Payee/ Mortgagee/ Additional Insured/ Certificate Holder FEDERATED MUTUAL INSURANCE COMPANY. FEDERATED LIFE INSURANCE COMPANY. FEDERATED SERVICE INSURANCE COMPANY. MFO-40 (07-09) HOME OFFICE: OWATONNA, MINNESOTA 55060 1-888-333-4949