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C/O INCS DISTRIBUTION CENTER
PO BOX 5045
TROY MI 48007-5045
ELECTRONIC SERVICE REQUESTED
LIENHOLDER NOTIFICATION
1214130512-EDS01130512=002873:002873`1/1
#BWBBFTJ
#3475 4520 1712 14E3#
city of fort collins
215 north mason st
fort collins CO 80524-4402
INTERESTED IN RECEIVING NOTICES
ELECTRONICALLY AT NO COST?
CONTACT INCS.OPS@DXC.COM
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POLICY NO: INSURED: LESSOR:
Michael J Falco city of fort collins
918099432 324 S. Howes St. 215 north mason st
FortlCollins CO 80521 fort collins CO 80524
POLICY AGENCY/AGENT: IC94549 800-888-7764 INSURER:
CHANGE PROGRESSIVE DIRECT PROGRESSIVE DIRECT INSURANCE CO
PO BOX 31260
TAMPA FL 33631
POLICY EFFECTIVE DATE: 11/16/2017 PROCESS DATE: 12/13/2017
NON-CONTINUOUS-EXP DATE: 5/16/2018 CHANGE EFF DATE: 12/13/2017
VIN: 2HKYF18557H539735 2007 HONDA PILOT
COVERAGE: BI 25,000 PER PERSON LIMIT
BI 50,000 PER OCCURRENCE LIMIT
PD 151000 PER OCCURRENCE LIMIT
INTERESTED PARTY: city of fort collins
POLICY NO:
918099432
POLICY
CHANGE
POLICY NO:
918099432
POLICY
CHANGE
INSURED:
Michael J Falco
324 S. Howes St.
Apt 1
Fort Collins CO 80521
LESSOR:
city of fort collins
215 north mason st
fort collins CO 80524
AGENCY/AGENT: IC94549 800-888-7764 INSURER:
PROGRESSIVE DIRECT PROGRESSIVE DIRECT INSURANCE CO
PO BOX 31260
TAMPA FL 33631
POLICY EFFECTIVE DATE: 11/16/2017 PROCESS DATE: 12/13/2017
NON-CONTINUOUS-EXP DATE: 5/16/2018 CHANGE EFF DATE: 12/13/2017
VIN: 2HKYF18557H539735 2007 HONDA PILOT
COVERAGE: BI 25,000 PER PERSON LIMIT
BI 50,000 PER OCCURRENCE LIMIT
PD 151000 PER OCCURRENCE LIMIT
INTERESTED PARTY: city of fort collins
INSURED:
Michael J Falco
324 S. Howes St.
Apt Fort
Collins CO 80521
LESSOR:
city of fort collins
215 north mason st
fort collins CO 80524
AGENCY/AGENT: IC94549 800-888-7764 INSURER:
PROGRESSIVE DIRECT PROGRESSIVE DIRECT INSURANCE CO
PO BOX 31260
TAMPA FL 33631
POLICY EFFECTIVE DATE: 11/16/2017 PROCESS DATE: 12/13/2017
NON-CONTINUOUS-EXP DATE: 5/16/2018 CHANGE EFF DATE: 12/13/2017
VIN: 2HKYF18557H539735 2007 HONDA PILOT
COVERAGE: BI 25,000 PER PERSON LIMIT
BI 50,000 PER OCCURRENCE LIMIT
PD 15,000 PER OCCURRENCE LIMIT
INTERESTED PARTY: city of fort collins
Correspondence or inquiries directed to the insurer must include a copy of this notification.