HomeMy WebLinkAboutCOI - Galaxy Taxi - Expires 2021-10-21NEW YORK MARINE & GENERAL INSURANCE COMPANY
412 MT. KEMBLE AVENUE
SUITE 300
MORRISTOWN NJ 07960
NOTICE OF CANCELLATION OF INSURANCE
Named Insured & Mailing Address:
ARTURO FERNANDEZ
DBA GALAXY TAXI
487 BURGANDY DRIVE
LOS BANOS CA 93635
Producer. OC77445
AMERICAN BUSINESS INSURANCE SERVICES, INC.
(CA)
32107 W. LINDERO CANYON ROAD
SUITE 120
WESTLAKE VILLAGE CA 91361
Policy No.: AU2021 TLP08536
Type of Policy: AUTO LIABILITY AND PHYSICAL DAMAGE
Date of Cancellation: 10/20/2021; 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
Your interest in this policy as an "insured" or other party of interest is being cancelled effective 10/20/2021;
12:01 A.M. Local Time at the mailing address of the named insured.
Additional Insured
CITY OF GILROY
CITY OF GILROY
7301 HANNA ST
GILROY CA 95020
Date Mailed:
4th day of October, 2021
AUTHORIZED REPRESENTATIVE
CACCINONPMNT
FORM# CC9697CA51995 10042021MYNY
ODEN 3.0.21.08a Copy for Additional Insured Page 1 of 1