Loading...
HomeMy WebLinkAboutGaravaglia Architecture - Insurance CertificateNOTICE TO LIENHOLDER /MORTGAGEE/ ADDITIONAL INSURED /CERTIFICATE HOLDER FOREMOST SIGNATURE INSURANCE COMPANY (Refer to envelope for insurance company address) CITY OF GILROY 7351 ROSANA ST GILROY CA 95020 - -6141 POLICY NO INSURED GARAVAGLIA ARCHITECTURE, INC. PAS 12574267 GENT WILLIS OF ILLINOIS INC INSURING COMPANY FOREMOST SIGNATURE INSURANCE COMPANY REFERENCE TO LIENHOLDER You are hereby notified that the agreement under the Loss Payable Clause payable to you as Lienholder which is part of the above policy, issued to the above Insured, has been or will be cancelled or nonrenewed in accordance with the conditions of the policy. Your interest under this policy ceases effective TO MORTGAGEE: The Mortgagee Agreement in the above mentioned policy has been or will be cancelled or nonrenewed. Your interest under this policy ceases effective TO ADDITIONAL INSURED. This is to notify you that the above captioned policy which names you as an Additional Insured has been or will be cancelled in accordance with the conditions of the policy Your interest under this policy ceases effective TO CERTIFICATE HOLDER X This is to notify you that the above captioned policy for the above named insured has been or will be cancelled. Your interest in this policy ceases effective 09/30/2017 v N QQr V N 10 8 a" 0 10 If 990028 (3/94) THIRD PARTY COPY 125 09/07/2017 Date of Mailing NOTICE TO LIENHOLDER /MORTGAGEE/ ADDITIONAL INSURED /CERTIFICATE HOLDER FOREMOST SIGNATURE INSURANCE COMPANY (Refer to envelope for insurance company address) CITY OF GILROY 7351 ROSANA ST GILROY CA 95020 - -6141 POLICY NO. INSURED GARAVAGLIA ARCHITECTURE, INC. PAS 12574267 GENT WILLIS OF ILLINOIS INC INSURING COMPANY FOREMOST SIGNATURE INSURANCE COMPANY REFERENCE TO LIENHOLDER: You are hereby notified that the agreement under the Loss Payable Clause payable to you as Lienholder which is part of the above policy, issued to the above insured, has been or will be cancelled or nonrenewed in accordance with the conditions of the policy. Your interest under this policy ceases effective TO MORTGAGEE The Mortgagee Agreement in the above mentioned policy has been or will be cancelled or nonrenewed. Your interest under this policy ceases effective TO ADDITIONAL INSURED. X_ This is to notify you that the above captioned policy which names you as an Additional Insured has been or will be cancelled in accordance with the conditions of the policy. Your interest under this policy ceases effective 10/ 14/2017 TO CERTIFICATE HOLDER: This is to notify you that the above captioned policy for the above named insured has been or will be cancelled. Your interest in this policy ceases effective N N Qor U t0 8 10 0 U) 990028 (3/94) THIRD PARTY COPY 123 09/07/2017 Date of Mailing 285 NOTICE TO LIENHOLDER /MORTGAGEE/ ADDITIONAL INSURED /CERTIFICATE HOLDER a oQN v N C 0 FOREMOST SIGNATURE INSURANCE COMPANY (Refer to envelope for insurance company address) CITY OF GILROY 7351 ROSANA ST GILROY CA 95020 - -6141 POLICY NO. INSURED GARAVAGLIA ARCHITECTURE, INC. PAS 12406627 GENT WILLIS INS SERVICES OF CA, INC INSURING COMPANY FOREMOST SIGNATURE INSURANCE COMPANY REFERENCE TO LIEIVHOLDER: You are hereby notified that the agreement under the Loss Payable Clause payable to you as Lienholder which is part of the above policy, issued to the above insured, has been or will be cancelled or nonrenewed in accordance with the conditions of the policy. Your interest under this policy ceases effective TO MORTGAGE The Mortgagee Agreement in the above mentioned policy has been or will be cancelled or nonrenewed. Your interest under this policy ceases effective TO ADDMONAL INSURED: This is to notify you that the above captioned policy which names you as an Additional Insured has been or will be cancelled in accordance with the conditions of the policy. Your interest under this policy ceases effective TO CERTIFICATE HOLDER X This is to notify you that the above captioned policy for the above named insured has been or will be cancelled. Your interest in this policy ceases effective 09/30/2016 990028 (3/94) THIRD PARTY COPY 10%24/2016 Date of Mailing 283 NOTICE TO LIENHOLDER /MORTGAGEE/ ADDITIONAL INSURED /CERTIFICATE HOLDER N oQN v r 0 0 W FOREMOST SIGNATURE INSURANCE COMPANY (Refer to envelope for insurance company address) CITY OF GILROY 7351 ROSANA ST GILROY CA 95020 - -6141 POLICY NO. INSURED GARAVAGLIA ARCHITECTURE, INC. PAS 12406627 GENT WILLIS INS SERVICES OF CA, INC INSURING COMPANY FOREMOST SIGNATURE INSURANCE COMPANY REFERENCE TO LIENHOLDER: You are hereby notified that the agreement under the Loss Payable Clause payable to you as Lienholder which is part of the above policy, issued to the above insured, has been or will be cancelled or nonrenewed in accordance with the conditions of the policy. Your interest under this policy ceases effective TO MORTGAGEE The Mortgagee Agreement in the above mentioned policy has been or will be cancelled or nonrenewed. Your interest under this policy ceases effective TO ADDITIONAL INSURED: X This is to notify you that the above captioned policy which names you as an Additional Insured has been or will be cancelled in accordance with the conditions of the policy. Your interest under this policy ceases effective 11/30/2016 TO CERTIFICATE HOLDER: This is to notify you that the above captioned policy for the above named insured has been or will be cancelled. Your interest in this policy ceases effective 990028 (3/94) THIRD PARTY COPY 10/24/2016 Date of Mailing