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Insurance - Robin B. Hamers & Associates - GL Reinstatement 2018-0701TRAVELERS 000sa-oi 707 WEST MAIN AVENUE RECEIVED SUITE 300 SPOKANE WA 99201 JUN 2 5 2018 Costs Mess 3'antrn:••: Otsrrict COSTA MESA SANITARY DISTRICT 290 PAULARINO AVENUE COSTA MESA CA 92626 REINSTATEMENT NOTICE Please take notice that the Policy designated below has been reinstated as of the effective date of the reinstatement stated below, notice of cancellation heretofore issued being hereby withdrawn as null and void. POLICY NUMBER: 680-1J616034-18-47 ISSUE DATE: 06/20/2018 NAME AND ADDRESS OF INSURED PRODUCER OR AGENT ROBIN B. HAMERS & ASSOCIATES, SELECTSOLUTIONS INS LLC DGW54 INC. 234 E 17TH ST ISSUING OFFICE STE 205 COSTA MESA CA 92627 SPECIALIST A&E 21X EFFECTIVE DATE OF THIS NOTICE VEHICLE IDENTIFICATION 07/01/18 (Comdete for Auto Policies or Coverages Only) LOCATION (Com,dete for Fire Policies or Fire Coverages ONLY) WRITTEN NOTICE IS HEREBY GIVEN TO YOU AS: ❑ THE PERSON TO WHOM AN INSURANCE CERTIFICATE WAS ORIGINALLY ISSUED OR A BANK OR FINANCE COMPANY; ❑X AN ADDITIONAL INSURED UNDER THE TERMS OF THE POLICY; ❑ A MORTGAGEE THIS NOTICE IS GIVEN ONLY BY THE COMPANY OR COMPANIES WHICH ISSUED THE POLICY DESIGNATED ABOVE. Page 1 of 1 CN 00 3C 03 94 TRAVELERSJ� 707 WEST MAIN AVENUE SUITE 300 SPOKANE WA 99201 00715-01 COSTA MESA SANITARY DISTRICT 290 PAULARINO AVENUE COSTA MESA CA 92626 RECEIVED JUN 18 2018 Costa Mesa Sanitary District ❑X CANCELLATION NOTICE. Please take notice that the Policy designated below, issued to the insured named below, has been canceled. Your interest under the Policy is canceled effective on the date stated below . ❑ NOT TAKEN NOTICE. Please take notice that the Insured named below has not accepted the Policy designated below and therefore no insurance has come into force there under. ❑ AMENDMENT NOTICE. Please take notice that, effective on the date stated below, the Policy designated below has been amended as follows: ❑ NON -RENEWAL NOTICE. Please take notice that we have advised the insured that this Policy will not be renewed. ❑ REWRITE NOTICE. Please take notice that the Policy designated below has been canceled; however, it is being rewritten. POLICY NUMBER: 680-IJ616034-18-47 I ISSUE DATE: 06/12/2018 NAME AND ADDRESS OF INSURED ROBIN B. HAMERS & ASSOCIATES, INC. 234 E 17TH ST STE 205 COSTA MESA CA 92627 EFFECTIVE DATE OF THIS NOTICE 07/01/18 LOCATION (Complete for Fire Policies or Fire Coverages ONLY) PRODUCER OR AGENT SELECTSOLUTIONS INS LLC DGW54 ISSUING OFFICE SPECIALIST A&E 21X VEHICLE IDENTIFICATION (Complete for Auto Policies or Coverages Only) WRITTEN NOTICE IS HEREBY GIVEN TO YOU AS: ❑ THE PERSON TO WHOM AN INSURANCE CERTIFICATE WAS ORIGINALLY ISSUED OR A BANK OR FINANCE COMPANY; ❑X AN ADDITIONAL INSURED UNDER THE TERMS OF THE POLICY; ❑ A MORTGAGEE THIS NOTICE IS GIVEN ONLY BY THE COMPANY OR COMPANIES WHICH ISSUED THE POLICY DESIGNATED ABOVE. Page 1 of 1 CN 00 3A 03 94