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HomeMy WebLinkAboutCOI - Salazar Transportation, Inc. - Expires 2020-09-08COASTAL BROKERS INSURANCE License No. 0600570 Pleasanton, CA 94588-3300 Notice of Rescission Producer: CALPLU CALIFORNIA PLUS INSURANCE SERVICE 2111 CENTRAL AVENUE CERES, CA 95307 Provider Number: SCINS Provider Name: Scottsdale Insurance Company Address: Insured: 14930 Salazar Transportation, Inc. PC Box 1526 Lodi, CA 95241 Policy Number: Policy Inception Date: Policy Expiration Date: Notice Number: Notice Effective Date: Processed on: LTS0004744-01 09/08/2019 09/08/2020 1 03/04/2020 02/10/2020 United States Postal Service Provider Name: Scottsdale Insurance Company Address: Insured Name: Salazar Transportation, Inc. Address: PO Box 1526 Lodi, CA 95241 Affix postage and postmark. For use as a "Certificate of Mailing" as provided in part 155 of the Postal Service Manual. May be used for Domestic or International Mail. Does not provider for Insurance. Date Of Mailing: 1/29/2020 In accordance with the terms and conditions of the above mentioned policy, the Cancellation Notice or Notice of Non -Renewal that you received is hereby rescinded. Your coverage remains in force without interruption. Rescission Reason: PAYMENT RECEIVED BY COASTAL BROKERS (Duplicate of Notice Of Rescission to Lienholder) Received From: Provider Name: Scottsdale Insurance Company Address: One piece of ordinary mail addressed to: Leinholder Name: CITY OF GILROY Address: 7351 ROSANNA STREET GILROY, CA 95020 Affix postage and postmark. For use as a "Certificate of Mailing" as provided in part 155 of the Postal Service Manual. May be used for Domestic or International Mail. Does not provider for Insurance. Authorized Signature For Registered Mail or Certified Mail Notice of Cancellation or Nonrenewal to the Insured and, if required, to the Lienholder, the appropriate U.S. Postal Service Receipt must be attached hereto and no postage stamp should be affixed to the receipt reproduced hereon. CERTIFICATION I hereby certify that I personally mailed in the U.S. Post Office at the place and time stamped hereon, a notice of cancellation or nonrenewal to the Insured if required, to the Leinholder, an exact copy of which appears above, and at said time received from the U.S. Postal Service the receipt made a part hereof or attached hereto. Signed this day of 20 Signature Generated by: David Joven Generated on: 02(10/2020 01:23 PM Created By: David Joven PPS-NOR1 Producer Copy Page 1 of 1 Authorized Signature COASTAL BROKERS INSURANCE License No. 0600570 Pleasanton, CA 94588-3300 Producer: CALPLU CALIFORNIA PLUS INSURANCE SERVICE 2111 CENTRAL AVENUE CERES, CA 95307 Copy of Notice Sent to Named Insured Insured: 14930 Salazar Transportation, Inc. PO Box 1526 Lodi, CA 95241 Notice of Rescission Provider Number: SCINS Provider Name: Scottsdale Insurance Company Address: Policy Number: Policy Inception Date: Policy Expiration Date: Notice Number: Notice Effective Date: Processed on: LTS0004744-01 09/08/2019 09/08/2020 1 03/04/2020 02/10/2020 Date Of Mailing: 1/29/2020 In accordance with the terms and conditions of the above mentioned policy, the Cancellation Notice or Notice of Non -Renewal that you received is hereby rescinded. Your coverage remains in force without interruption. Rescission Reason: PAYMENT RECEIVED BY COASTAL BROKERS You are hereby notified that the agreement under the Loss Payable Provisions payable to you as a Lienholder, which is a part of the above policy, issued to the above insured, is hereby rescinded in accordance with the conditions of the policy. The coverage remains in force without interruption. Provider Name: Scottsdale Insurance Company Address: Additional Interest: CITY OF GILROY Address: 7351 ROSANNA STREET GILROY, CA 95020 Generated by: David Joven Generated on: 02/10/2020 01:27 PM Created By: David Joven PPS -NOR 1 Additional Interest Copy Page 1 of 1 Authorized Signature COASTAL BROKERS INSURANCE License No. 0600570 Pleasanton, CA 94588-3300 Notice of Cancellation Producer: CALPLU CALIFORNIA PLUS INSURANCE SERVICE 2111 CENTRAL AVENUE CERES, CA 95307 Provider Number: SCINS Provider Name: Scottsdale Insurance Company Address: Copy of Notice Sent to Named Insured Insured: 14930 Salazar Transportation, Inc. PO Box 1526 Lodi, CA 95241 Policy Number: LTS0004744-01 Policy Inception Date: 09/08/2019 Policy Expiration Date: 09/08/2020 Notice Number: 2 Notice Effective Date: 03/31/2020 Processed on: 02/25/2020 IS CANCELLED AT 12:01 a.m. STANDARD TIME ON: 3/31/2020 Date Of Mailing: 2/25/2020 You are hereby notified in accordance with the terms and conditions of the above mentioned policy, and in accordance with the law, that your insurance will cease at and from the hour and date mentioned above. Reason for Cancellation: NON-PAYMENT TO FINANCE COMPANY You are hereby notified that the agreement under the Loss Payable Provisions payable to you as a Lienholder, which is a part of the above policy, Issued to the above Insured, is hereby cancelled in accordance with the conditions of the policy, said cancellation to be effective on and after the hour and date mentioned above. Provider Name: Scottsdale Insurance Company Address: Additional Interest: CITY OF GILROY Address: 7351 ROSANNA STREET GILROY, CA 95020 Generated by: David Joven Generated on: 02/26/2020 01:40 PM Created By: David Joven PPS-NOC1 Additional Interest Copy Page 1 of 1 -et Authorized Signature