HomeMy WebLinkAboutKOLAVERI CHICKEN LLC - INSURANCE CERTIFICATE (2)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.
Place
Stamp
Here
1350233-7223411 -1 -A
LexisNexis/FIRSt
2885 Breckinridge Blvd, Ste 400
Duluth, GA 30096
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IMPORTANT: INSURANCE COVERAGE NOTIFICATION(S)
LexisNexis is not the Insurance Company.
-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 12:01 AM 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.
IPolicy: 07 194307530 REASON: Policy Change Created: 10/18/2017 EN. Die: 10/20/2017
Carrier: FARMERS INSURANCE EXCHANGE Pol. From: 10/10/2017 Pol. To: 04/10/2018
Add.lns.: CITY OF FT COLLINS -PO BOX 580-FT CLLNS-CO-80522
Insured: KAMBLY; KIRAN R -1626 FARADAY CIR-FORT COLLINS-CO-80525
Insurance: FARMERS INSURANCE EXCHANGE-4680 Wilshire Blvd -Los Angeles-CA-90010
Producer: DAVID STANSFIELD-5125 S COLLEGE AV #B-FT COLLINS-CO-80525 970.204,0020
Deducts: Comp: 750 Coll: 750 Leased Vehicle N State Reg: CO EN. until cncld: Y
PropDmg: 100,000 SLL 100,000 / 300,000
Vehicle: 2015 LEXUS FIX 450H HY 2T2BC1BA8FC005310
FIRSt Id: 21652-I147-7223411-451707718