2019/06/01 Raceway Ford, Inc. Cancellation/Nonrenewal NoticeCANCELLATIONMOyyNRENEWAL NOTICE
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Insured:
RACEWAY FORD, INC
5900 SYCAMORE CANYON BLVD
RIVERSIDE, CA 92507-0719
Account Number: 279-067-3
Date: 06/12/2019
Place of Issue:
FEDER4T�D
INSURANCE
121 East Park Square
PO Box 328
Owatonna, MN 55060
Cancel lation/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'
9829275 Commercial Package Policy 06/01/2019 12:01 a.m.
9829278 Umbrella 06/01/2019 12:01 a.m.
* Standard time at the designated business premises.
CITY OF MENIFEE AND ITS OFFICERS EMPLOYEES Loss Payee/
AGENTS Mortgagee/
AND AUTHORIZED VOLUNTEERS Additional Insured/
29714 HAUN RD Certificate Holder
MENIFEE, CA 92586-6540
FEDERATED MUTUAL INSURANCE COMPANY a FEDERATED SERVICE INSURANCE COMPANY* • FEDERATED RESERVE INSURANCE COMPANY*
MFO-40 (08-17) federatedinsurance.com I *Not licensed in all states. 1 1-888-333-4949