HomeMy WebLinkAboutMICHAEL O BLACK AND REINA BACH - INSURANCE CERTIFICATE (2)LIENHOLDER NOTIFICATION
NOTICE OF CHANGE IN POLICY TERMS: The Loss Payable Clause Endorsement providing coverage to lienholders
has been revised. The revised Loss Payable Clause Endorsement for Assigned Risk Policies remains unchanged.
Assigned Risk Policy numbers start with the following digits: 9 or 08. Please go to partners.geico.com to view a copy of
the revised endorsement or request that a copy be sent to you. You may also contact us at 1-877-347-3281 to request a
copy of the revised endorsement. We are open Monday through Friday 8:30 a.m. to 6:30 p.m. EST.
CITY OF FORT COLLINS CO GEICO
PO BOX 580 ATTN: LIENHOLDER DEPARTMENT
FORT COLLINS CO 80522 P.O. Box 9094
Macon, GA 31208-9094
1-877-347-3281
POLICY NUMBER:
INSURED NAME/ADDRESS:
41,41610420
MICHAEL BLACK
RENEWAL.
REINA BACH
EFF: 03/18/19 (12:01 A.M.
STANDARD TIME)14516 W BYERS PL
EXP: 09/18/19 (12:01 A.M.
STANDARD TIME)GOLDEN CO 80401-5169
LOSS PAYEE:
ADDITIONAL INSURED:
CITY OF FORT COLLINS CO
CITY OF FORT
PO BOX 580
POLICY PERIOD: 03/18/19
FORT COLLINS CO 80522
(12:01 A.M. STANDARD TIME)
TO: 09/18/19
(12:01 A.M. STANDARD TIME)
Page 1
INSURER:
GEICO GENERAL INSURANCE COMPANY
PROCESS DATE: 02/11/19
VIN: 5TDDW5G12AS033673 10 TOYOTA
COVERAGES: COLL:1000/DED
COMP:1000/DED
BI: 0300/0300 PD: 0100
IF THE POLICY CANCELS, WE WILL NOTIFY
YOU, THE LIENHOLDER, AT LEAST 5 DAYS
BEFORE WE TERMINATE YOUR INTEREST.
CORRESPONDENCE OR INQUIRIES DIRECTED TO INSURER MUST INCLUDE A COPY OF THIS NOTIFICATION
LHNOT (02-12) Visit us at partners.geico.com to enroll in our online Lienholder Coverage Verification Service.