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6/7/2019 9:06:47 PM
Creation date
12/28/2018 2:52:05 PM
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Department
City Clerk
General - Type
Agendas
General 2 - Date
12/28/2018
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PHILADELPHIA INDEMIN11TY INSURANCE COMPANY <br />1-877-438-7459 <br />ONE BALA PILAZA, SUITIE 100 <br />BAILA CYNWYD IRA 19004 <br />NOTICE OF CANCELLATION OF IINSURANCIE <br />Named insuinad & MaWngAddmmss, <br />RIVERSIDE H0lJSIIN(.'.-.-1A DEVELOF::11MENT <br />4250 BROCKTON AVII::: <br />IRIVIEIR&IDE CA 925()1-3447 <br />Valymmuffinm <br />"rHE 11 , EMPRE COMFIANY <br />nd1TRALMEMARK STFMET, SURE D <br />6AMOM �A <br />RANd to rU CA91779 <br />Policy 1144.: PI 1PIK1784341 <br />Type al' Poficy:� PACAKAGE <br />Date of Cancefflation: 011q )9/201% 1Z01 A.M. lEastern l'irne at the irnaffing address of the Narned Insured. <br />We we cancelling this policy,. Your kisuirance will cease on the Dalf-.- of (',,aincellatJoin showinabove,. <br />The reasq.:)nfor cancx:dlaflan is NONPAYMENT IPIREMIU11A 62 05.,31. <br />This Ipolucy. provides fire andextelinded rx)verage Insur ain(::oin your property. 'You shoi.*J i.:,,,ontact yf::)I.Iir ageriit <br />w.incerning coverage throt.igh another insurer, or your eligibility for coverage, through tl'r lliif rinii IFair Plan, <br />P.O. Box'76924., Los Angeles, CA 40076, Phone-.- (800) 3394099 orwwW..cfpnet.com. <br />"Your interest fin this poficy as an "insured" or other party ofinterest [is being cancoHed effectIve 011091201 % <br />12.-01 A.II` . Eastern Time at the mailing address of the narned Insured,. <br />Addiflonallinsiured <br />INCITY OF IRIIVE1:::ZSIIIDE <br />3900 It A111114 S IF <br />IRlVl:..:.�,RSI1IDE CA 92522) :000 1 <br />hRIMP C;C9697011CAI 1210117 <br />C.H.JEN 3, 10 � 8 12.4a <br />Copy brAdcfibional dinsiuiimd <br />Date Me Hed � <br />1 gtt-t day o,f Di(.-ncember, 1 B <br />I 1�t a <br />MIS:,Ille LYNCi � <br />rAGG1911NOWMINT <br />12192018MYINY <br />P�age 1 of I <br />
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