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COI - Articulate Solutions, Inc. - Expires 2022-06-10
NAMEAND. ADDRESS OF INSURANCE COMPANY NOTICE OF CANCELLATION, NONRENEWAL OR DECLINATION (California) OHIO SECURITY INSURANCE COMPANY KIND OF POLICY: 650 NE Holladay Package Policy POLICY/APPLICATION/BINDER NO.: BZS (22) 58160351 - Portland OR 97232 EFFECTIVE DATE OF NOTICE: 06/10/2022 12:01 AM (DATE) (HOUR-STANDARD TIME AT THE ADDRESS OF THE INSURED) DATE OF MAILING: 6/15/2022 NAME AND ADDRESS OF AGENT/BROKER: NAMEAND. ADDRESS OF INSURED ARTICULATE SOLUTIONS, INC. 7365 Monterey St 2nd Fl PACIFIC COAST BENEFITS INSURANCE SERVICES LLC Gilroy TO THE ADDITIONAL INTEREST: CA 95020 7600 Monterey St Ste 140 Gilroy (Specific information concerning the cancellation, nonrenewal or declination has been given to the Insured.) CA 95020 You are notified that the above policy is cancelled, nonrenewed or declined effective on and after the hour and date mentioned above. This notice is being provided to you as you have been provided with a certificate of insurance on the above policy. Any interest you may have in the above policy is terminated. NAME AND ADDRESS OF ADDITIONAL INTEREST THE CITY OF GILROY 7351 ROSANNA ST GILROY (E)GU 351q (Ed. 6-20) Wolters Kluwer I Uniform Forms CA © 2020 Wolters Kluwer Financial Services, Inc. All rights reserved. fie~ AUTHORIZED REPRESENTATIVE 95020 ADDITIONAL INTEREST'S COPY Page 1 of 1