COI - Leadership Gilroy - Expires 2024-08-01UNITED STATES LIABILITY INSURANCE COMPANY
1190 DEVON PARK DRIVE
P.O. BOX 6700
WAYNE PA 19087-2191
REINSTATEMENT NOTICE
Named Insured & Mailing Address: Producer: 5576
LEADERSHIP GILROY TAPCO- KL (5576)
7471 MONTEREY STREET PO BOX 286
GILROY CA 95020 BURLINGTON NC 27216
Policy No.: NPP 1608868A
Type of Policy: NON PROFIT PROFESSIONAL PACKAGE
JUL 31 2023
GILROY CITY CLERK'S OFFICE
You recently received a notice advising this policy was being cancelled effective 08/01/2023 .
This notice is to advise that the policy is being reinstated without lapse in coverage.
Additional Insured
CITY OF GILROY, ITS OFFICERS,
7351 ROSANNA ST
GILROY CA 95020
Date Maile
14th of J ly, 2023
FATIN AL M
CACT19
FORM# CT969897CA51995 07132023SNNY
ODEN 3.0.23.06a Copy for Additional Insured Page 1 of 1
UNITED STATES LIABILITY INSURANCE COMPANY
1190 DEVON PARK DRIVE
P.O. BOX 6700
WAYNE PA 19087-2191
NOTICE OF CANCELLATION OF INSURANCE
Named Insured 8 Mailing Address:
LEADERSHIP GILROY
7471 MONTEREY STREET
GILROY CA 95020
Producer: 5576
TAPCO- KL (5576)
PO BOX 286
BURLINGTON NC 27216
MC�DOMCSD
JUL 31 2023
GILROY CITY CLERK'S OFFICE
Policy No.: NPP 1608868A
Type of Policy: NON PROFIT PROFESSIONAL PACKAGE
Date of Cancellation: 08/01/2023; 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. The amount of premium overdue is $557.60
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 08/01/2023;
12:01 A.M. Local Time at the mailing address of the named insured.
Additional Insured
CITY OF GILROY, ITS OFFICERS,
7351 ROSANNA ST
GILROY CA 95020
Date Maile
6th d f Ju y, 2023
FATIN AL M
CACC19NONPMNT
FORM# CC969701CA102020 07062023MYNY
ODEN 3.0.23.06a Copy for Additional Insured Page 1 of 1