COI - Tim Bowen DBA Play Well Teknologies - Expires 2021-03-31PHILADELPHIA INDEMNITY INSURANCE COMPANY
1-877-438-7459
ONE BALA PLAZA, SUITE 100
BALA CYNWYD PA 19004
NOTICE OF CANCELLATION OF INSURANCE
Named Insured & Mailing Address: Producer: 0101950
TIM BOWEN DBA PLAY WELL TEKNOLOGIES
216 GREENFIELD AVE
SAN ANSELMO CA 94960-2416
MCNAMARA INSURANCE SERVICES, INC
690 DE LONG AVE STE 200
NOVATO CA 94945-3359
Policy No.: PHPK2185416
Type of Policy: FP :FOR PROFIT SOCIAL SERVICE PKG
Date of Cancellation: 03/31/2021; 12:01 A.M. Local Time at the mailing address of the Named Insured.
We are cancelling this policy. Your insurance will cease on the Date of Cancellation shown above.
The reason for cancellation is NONPAYMENT OF PREMIUM 443.52.
This policy provides basic property insurance on your property. You should contact your agent concerning
coverage through another insurer, or your eligibility for coverage through the California Fair Plan, P.O. Box
76924, Los Angeles, CA 90076, Phone: (800) 339-4099 or www.cfpnet.com.
Your interest in this policy as an "insured" or other party of interest is being cancelled effective 03/31/2021;
12:01 A.M. Local Time at the mailing address of the named insured.
Other Party of Interest
CITY OF GILROY, ITS OFFICERS,
OFFICIALS
7351 ROSANNA ST
GILROY CA 95020
Date Mailed:
10t y of Mar h 2021
1 ,
JOAN HILLMAN
FORM# CC969701 CA102020
ODEN 3.0.21.02a Copy for Other Interests
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CACC36NONPMNT
03102021 MYNY
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