Laserfiche WebLink
NOTICE OF CANCELLATION OR NON RENEWAL <br /> UGREAT AMER INS. CO. AGRICULTURAL INS. CO. <br /> POLICY OR BONG NU CO <br /> MBE DATE OF NOTICE "CA. N*AL FIRE �AMERICAN ALLIANCE INS Co <br /> 158 47 78 5 1 91 <br /> YOV ARE HEREBY NOTIFIED THAT PURSUANT TO ITS TERMS. THIS POLICY OR BOND IS CANCELLED OR NOT RENEWED AS INDICATED BY X BELOW <br /> DATE AND HOUR OF CANCELLATION OR NON RENEWAL DAYS AFTER RECEIPT OF THIS NOTICE. 1Provided, howev,r. <br /> that as to any mortgagee or lob payee who, by e)VIM Provision of the policy <br /> 12:01 A.M. NOON ❑ w bond is entitled to additional days notice of cancellation, the eHecbye date <br /> DATE STANDARD TIME of cancellation shall be ten (10) days after service of IN,notice.I <br /> I— Name arrd Addrw of Irwrad or Ob4m r <br /> I Dept. of Natural Resources I C. Ryan & Son , IncREGEIVE <br /> 7o Mined Land Reclamation Div. 6001 McIntyre <br /> Samoa, 1313 Sherman, Rm. 215 Golden , Colorado MAY 17 1991 <br /> Denver, Colorado I I 80403 <br /> L 80203 _I L_ <br /> (Applicable paragraph marked CMl <br /> I MfTiln�e} LaPrl�nd <br /> You are hereby notified in accordance with the terms and conditions of the above mentioned poly A Dbl1{�1 4r; <br /> CANCEL_ ❑ insurance will cease at and from the hour and date mentioned above. <br /> CATION If the premium has been prsn paid. Premium adjustrnem well be made as soon as practicable after cancellation becomes effective. <br /> N the premium has not been paid,a bill for the premium earned to the time of cancellation will be forwarded in due course. <br /> NON- xF1 You are hereby notified that the above mentioned policy will expire effective at and from the hour and date mentioned <br /> RENEWAL above and the policy will NOT be renewed. <br /> CANCElL ❑ You are hereby notified in accordance with the terms and conditions of the above mentioned policy that your insurance <br /> NON PAY. <br /> will cage at end from the hour and date mentioned above. <br /> MENT OF <br /> PREMIUM <br /> IMPORTANT NOTICE: <br /> ❑ In compliance with the Fair Credit Reporting Act (Public Law 91 508). you are hereby informed that the action taken <br /> above is being taken wholly or partly because of information contained in a consumer r port from the flowing consurAer reporting agency: <br /> (Name) ', <br /> (Address) ere L . Cristoba , Bond Tech . <br /> F 1aa35E(10/87) AUTHORIZED REPRESENTATIVE <br /> INSURED COPY <br />