HomeMy WebLinkAboutFederated Insurance - Cancellation / Nonrenewal Notce CANCELLATION/NONRENEWAL NOTICE Page 1 of 1
Third
CERTOLpp
CERTHOLDER
Account Number: 172-761-9
Date: 07/26/2023
Place of Issue:
FEDERATED
INSURANCE
Insured: 121 East Park Square
328
DRYWALL\MASONRY SUPPLIES, INC. OO Bonwatonnaa,,
MN 55060
277 WHITES PATH O
SOUTH YARMOUTH, MA 02664-1217
Cancellation/Nonrenewal of each policy listed below was requested by the insured.
According to contract language in the policies listed below, we will continue to protect your interest as a
mortgagee, additional insured, or a loss payee through the date and time of day shown below.
Policy Time of
Policy Cancellation/Nonrenewal Policy
Number Policy Type Date Cancellation/Nonrenewal*
6076419 Business Auto Policy 07/01/2023 12:01 a.m.
6076420 Commercial Package Policy 07/01/2023 12:01 a.m.
6076422 Umbrella 07/01/2023 12:01 a.m.
6076423 Worker's Compensation 07/01/2023 12:01 a.m.
WO (13 2023
HEALTH DEPT.
* Standard time at the designated business premises.
TOWN OF YARMOUTH BOARD OF HEALTH Loss Payee/
1146 ROUTE 28 Mortgagee/
SOUTH YARMOUTH, MA 02664-4463 Additional Insured/
Certificate Holder
FEDERATED MUTUAL INSURANCE COMPANY•FEDERATED SERVICE INSURANCE COMPANY**FEDERATED RESERVE INSURANCE COMPANY*
MFO-40 (08-17) federatedinsurance.com I *Not licensed in all states. 11-888-333-4949
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