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it NOTICE OF CANCELLATION OR NON RENEWAL <br /> GREAT AMERICAN INS. CO. 0 AGRICULTURAL INS. CO. <br /> POLICY OR BOND NUMBEI DATE OF NOTICE AMELOAN NA- `iNAL FIRE AMERICAN ALLIANCE INS. CO. <br /> INSe�.r�ota 0 40 11 04 April 21, 1988 <br /> YOU ARE HEREBY NOTIFIED THAT PURSUANT TO ITS TERMS. THIS POLICY OR BOND IS CANCELLED OR NOT RENEWED AS INDICATED GYM BELOW <br /> DATE AND HOUR OF CANCELLATION OR NON RENEWAL DAYS AFTER RECEIPT OF THIS NOTICE. (Provided, ho=r, <br /> that as to any mortgagee or lose payee who, by eaprea provision of olicy <br /> Angnct 1 or bond Is entitled to additional days notice of cancellation. the effective date <br /> DATE STANDARD TIME of cancellation Nall be ten (101 days after service of this notice I <br /> Name and Address of Insured or Obliges <br /> To (State of Colorado I Andersen Construction Company O_II <br /> Mined Land Reclamation Division PO Box 509 <br /> ai 1313 Sherman Street Alamosa, Colorado 81101 <br /> II93 Centennial Building I I <br /> ` nver, Colorado 80203 J L J <br /> (Applicable paragraph marked <br /> CANCEL- You are hereby notified in accordance with the terms and conditions of the above mentioned policy or bond that your William <br /> an0 Insurance will cease at and from the hour and date mentioned above. <br /> ff this premium has been paid, premium adjustment will be made as soon as practicable after cancellation becomes effective. losses <br /> ff 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- You are hereby notified that the above mentioned policy will expire effective st a f:14"!� h and date mentioned <br /> RENEWAL above and this policy will NOT be renewed. - <br /> CLATIO.FNL You are hereby notified in accordance with the terms and conditio df the above mentil gd policy that your insurance <br /> NON PAY us will cs at and from the hour and date mentioned above.MENT ��R n •� �gtjtS <br /> PItEMN1M ry , <br /> IMPORTANT NOTICE: <br /> In compliance with the Fair Credit Reporting Act (Public Law 91.508), y�1 �C!�`vrlbrirJetl ttlat'the action taken <br /> above is being taken wholly or partly because of information contained in a consumer �1oTt rrum the following consumer reporting agency: <br /> (Name) <br /> (Address) <br /> AUTHORIZED REPRESENTATIVE <br /> F.taaasE (t/es INSURED COPY <br />