HomeMy WebLinkAboutPark Engineering, Inc.TRAVELERS` 000063- 01
PO Box 64095
St. Paul, MN 55102-0095
CITY OF LOS ALTOS ATTN RICHARD CHIU
26379 FREMONT RD
LOS ALTOS HILLS CA 94022
REINSTATEMENT NOTICE
Please take notice that the Policy designated below has been reinstated as of the effective date of the reinstateme
stated below, notice of cancellation heretofore issued being hereby withdrawn as null and void.
POLICY NUMBER: CUP -1P219299-23-47
ISSUE DATE: 12/15/2023
NAME AND ADDRESS OF INSURED
PRODUCER OR AGENT
PARK ENGINEERING, INC.
372 VILLAGE SQ
BRICK INSURANCE AGENCY DMT47
ORINDA CA 94563
ISSUING OFFICE
RETAIL A&E 21W
EFFECTIVE DATE OF THIS NOTICE
VEHICLE IDENTIFICATION
01/01/24
(Comdete for Auto Policies or Coverages Only)
LOCATION
(Com.dete for Fire Policies or Fire Coverages ONLY)
10m
0
0
O
a
o WRITTEN NOTICE IS HEREBY GIVEN TO YOU AS:
o ❑ THE PERSON TO WHOM AN INSURANCE CERTIFICATE WAS ORIGINALLY ISSUED OR A BANK
co OR FINANCE COMPANY;
D 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
CN003C0394