Insurance Cancellation NOTICE OF CANCELLATION fat` Libertyut <
STATE OF KANSAS INSURANCE
CANCELLATION WILL TAKE EFFECT AT 12:01 A.M. ON 10/22/2019 Date of Notice: 10/08/2019
Policy No.: BKS57218095 Issued at: DOVER, NH
Agent No: 1011598
Agent: TELEPHONE (316) 440-4240 Account of:
INSURANCE CENTER INC SAMY'S OC LLC
120 W CENTRAL AVE 1911 E KANSAS AVE
EL DORADO, KS 67042-2138 GARDEN CITY, KS 67846
Notice Issued To: Company Name:
CITY OF SALINA LIBERTY MUTUAL INSURANCE
PO BOX 736 PO BOX 188025
SALINA, KS 67402-0736 FAIRFIELD, OH 45018-8025
For Payment/Billing Inquiries: 1-866-290-2920
mybusinessonline.Iibertymutual.com
NOTICE TO: ADDITIONAL INTEREST
Line of Business: COMMERCIAL LINES PACKAGE
You are hereby notified that your interest under this policy has been cancelled as
of the time and date stated above.
dxeefe,er -'Authorized Representative
Info Copy DNOC_INFO 00022 BKS57218095 10080101 000052 GCXCPCN Page 1
r Liberty
i�lutu<il.
INSURANCE
NOTICE OF REINSTATEMENT
Policy number BK557218095 is reinstated without any lapse in coverage for the period of 03/30/2019-
03/30/2020.
The reinstatement is dependent upon payment being honored by the financial institution. If payment is not honored by the
financial institution. the policy will terminate on the date and time shown on the cancellation notice issued for non-payment of
premium.
Agent No: 1011598
Agent: TELEPHONE (316) 440-4240 Account of:
INSURANCE CENTER INC SAMY'S OC LLC
120 W CENTRAL AVE 1911 E KANSAS AVE
EL DORADO. KS 67042-2138 GARDEN CITY. KS 67846
Notice Mailed To: Coverage Provided By:
CITY OF SALINA OHIO SECURITY INSURANCE COMPANY
PO BOX 736
SALINA. KS 67402-0736
Date of Notice: 07/11/2019 Policy Period: 03/30/2019- 03/30/2020
Policy Number: BKS57218095 Account Number: 101850060
For Billing inquiries: 1-866-290-2920
mybusinessonline.libertymutual.com
Info Copy REINS 00055 6K557218095 07110112 000120 ZCXCPEN Page 1
NOTICE OF CANCELLATION 'V . Liberty
STATE OF KANSAS G Mutual.
INSURANCE
CANCELLATION WILL TAKE EFFECT AT 12:01 A.M. ON 07/23/2019 Date of Notice: 07/09/2019
Policy No.: BKS57218095 Issued at DOVER. NH
Agent No: 1011598
Agent: TELEPHONE (316) 440-4240 Account of:
INSURANCE CENTER INC SAMY'S OC LLC
120 W CENTRAL AVE 1911 E KANSAS AVE
EL DORADO. KS 67042-2138 GARDEN CITY, KS 67846
Notice Issued To: Company Name:
CITY OF SALINA LIBERTY MUTUAL INSURANCE
PO BOX 736 PO BOX 188025
SALINA, KS 67402-0736 FAIRFIELD, OH 45018-8025
For Payment/Billing Inquiries: 1-866-290-2920
mybusinessonline.libertymutual.com
NOTICE TO: ADDITIONAL INTEREST
Line of Business: COMMERCIAL LINES PACKAGE
You are hereby notified that your interest under this policy has been cancelled as
of the time and date stated above.
X0,4. Cela
Authorized Representative
•
Info Copy DNOC_INFO 00059 BKS57218095 07090122 000136 GCXCPCN Page 1
' Liberty
�G`' Mutual.
INSURANCE
NOTICE OF REINSTATEMENT
Policy number BKS57218095 is reinstated without any lapse in coverage for the period of 03/30/2019 -
03/30/2020.
The reinstatement is dependent upon payment being honored by the financial institution. If payment is not honored by the
financial institution. the policy will terminate on the date and time shown on the cancellation notice issued for non-payment of
premium.
Agent No: 1011598
Agent: TELEPHONE (316) 440-4240 Account of:
INSURANCE CENTER INC SAMY'S OC LLC
120 W CENTRAL AVE 1911 E KANSAS AVE
EL DORADO. KS 67042-2138 GARDEN CITY, KS 67846
Notice Mailed To: Coverage Provided By:
CITY OF SALINA OHIO SECURITY INSURANCE COMPANY
PO BOX 736
SALINA, KS 67402-0736
Date of Notice: 05/20/2019 Policy Period: 03/30/2019- 03/30/2020
Policy Number: BK557218095 Account Number: 101850060
For Billing Inquiries: 1-866-290-2920
mybusinessonline.libertymutual.com
Info Copy REINS 00039 BKS57218095 05180129 000083 ZCXCPEN Page 1
NOTICE OF CANCELLATION Liberty
STATE OF KANSAS Mutual.
ItISURGNOE
CANCELLATION WILL TAKE EFFECT AT 12:01 A.M. ON 05/22/2019 Date of Notice: 05/08/2019
Policy No.: BKS57218095 Issued at: DOVER. NH
Agent No: 1011598
Agent: TELEPHONE (316) 440-4240 Account of:
INSURANCE CENTER INC SAMY'S OC LLC
120 W CENTRAL AVE 1911 E KANSAS AVE •
EL DORADO, KS 67042-2138 GARDEN CITY. KS 67846
Notice Issued To: Company Name:
CITY OF SALINA LIBERTY MUTUAL INSURANCE
PO BOX 736 PO BOX 188025
SALINA. KS 67402-0736 FAIRFIELD. OH 45018-8025
For Payment/Billing Inquiries: 1-866-290-2920
mybusinessonline.libertymutual.com
NOTICE TO: ADDITIONAL INTEREST
Line of Business: COMMERCIAL LINES PACKAGE
You are hereby notified that your interest under this policy has been cancelled as
of the time and date stated above.
dxeef&er-'
Authorized Representative
•
Info Copy DNOC_INFO 00018 BK557218095 05080056 000036 GCXCPCN Page 1
Liberty
f Mutual.
INSURANCE
NOTICE OF REINSTATEMENT
Policy number BK557218095 is reinstated without any lapse in coverage for the period of 03/30/2018 -
03/30/2019.
The reinstatement is dependent upon payment being honored by the financial institution. If payment is not honored by the
financial institution, the policy will terminate on the date and time shown on the cancellation notice issued for non-payment of
premium.
Agent No: 1011598
Agent: TELEPHONE (316) 440-4240 Account of:
INSURANCE CENTER INC SAMY'S OC LLC
120 W CENTRAL AVE 1911 E KANSAS AVE
EL DORADO, KS 67042-2138 GARDEN CITY, KS 67846
Notice Mailed To: Coverage Provided By:
CITY OF SALINA OHIO SECURITY INSURANCE COMPANY
PO BOX 736
SALINA, KS 67402-0736 •
Date of Notice: 01/23/2019 Policy Period: 03/30/2018- 03/30/2019
Policy Number: BK557218095 Account Number: 101850060
Tor Billing Inquiries: 1-866-290-2920
mybusinessonline.libertymutual.com
Info Copy REINS 00081 BK557218095 01230203 000183 ZCXCPEN Page 1
NOTICE OF CANCELLATION n. Liberty
STATE OF KANSAS r Mutual.
INSURANCE
CANCELLATION WILL TAKE EFFECT AT 12:01 A.M. ON 01/22/2019 Date of Notice: 01/08/2019
Policy No.: BKS57218095 Issued at: DOVER. NH
Agent No: 1011598
Agent: TELEPHONE (316) 440-4240 Account of:
INSURANCE CENTER INC SAMY'S OC LLC
120 W CENTRAL AVE 1911 E KANSAS AVE
EL DORADO. KS 67042-2138 GARDEN CITY, KS 67846
Notice Issued To: Company Name:
CITY OF SALINA LIBERTY MUTUAL INSURANCE
PO BOX 736 PO BOX 188025
SALINA, KS 67402-0736 FAIRFIELD, OH 45018-8025
For Payment/Billing Inquiries: 1r866-290-2920 _
mybusinessonline.libertymutuaI.com
NOTICE TO: ADDITIONAL INTEREST
Line of Business: COMMERCIAL LINES PACKAGE
You are hereby notified that your interest under this policy has been cancelled as
of the time and date stated above.
moo, dxoeicarr-'
Authorized
Representative
Info Copy DNOC_INFO 00060 BK557218095 01080121 000142 GCXCPCN Page 1