HomeMy WebLinkAboutWILSON-KAUFMAN, ERIN - INSURANCE CERTIFICATE (3)--------------------------------
- -
LexisNexis is not the Insurance
Company.
For any and all policy changes you
must contact the Insurance Company,
the Carrier or the Producer listed in
the detail below.
If you are not the intended recipient,
please return this card.
IMPORTANT. INSURANCE COVERAGE NOTIFICATION(S)
LexisNexis is not the Insurance Company.
Place
Stamp
Here
1316150-7223411-1-A
LexisNexis/FIRSt
2885 Breckinridge Blvd, Ste 400
Duluth, GA 30096
-For any and all policy changes you must contact the Insurance Company, Carrier, or Producer listed in the detail below.
-For all cancellation, non -renewal, expiration, and lapse notices - all coverage will cease at 12:01AM local time at the premises, unless
otherwise shown in the item detail provided.
-If you want to receive future notifications electronically, email firstsupport@lexisnexis.com.
-This Insurance notice is sent to you as the Loss Payee/Mortgagee/Additional Interested Party on behalf of the carrier listed.
Policy:07 188178395 REASON: Policy Change Created: 07/25/2017 Eff. Dte: 07/25/2017
Carrier: FARMERS INSURANCE EXCHANGE Pol. From: 07/09/2017 Pol. To: 01/09/2018
Add.lns.: CITY OF FORT COLLINS -PO BOX 580-FRT CLLNS-CO-80522
Insured: WILSON-KAUFMAN: ERIN -5680 N HIGHWAY 1-FORT COLLINS-CO-80524
Insurance: FARMERS INSURANCE EXCHANGE4680 Wilshire Blvd -Los Angeles-CA-90010
Producer: DAVID STANSFIELD-5125 S COLLEGE AV #B-FT COLLINS-CO-80525 970.204.0020
Deducts: Comp: 1,000 Coll: 1,000 Leased Vehicle: N State Reg: CO Eff. until cncld: Y
SILL 0 / 1,000,000
Vehicle: 1998 TOYOTA 4RUNNER 4D JT3HN86R8W0185288
FIRSt Id: 21652-1147-8394998-438409431
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F TO OPEN, FOLD AND TEAR AT THIS PERFORATION
LexisNexis/FIRSt ELECTRONIC SERVICE REQUESTED
PO Box 11563
Milwaukee, WI 53211-0563
July 26, 2017
11111111111111 IN
1316150-7223411-1-A 28292 B1/L 91
CITY OF FT COLLINS
PO BOX 580
FORT COLLINS, CO 80522-0580
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