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Customer Service: (800)
RECEIVED
NOV 0 7 2022
Infinity Commercial Auto
11700 Great Oaks Way, Suite 450
Alpharetta, GA 30022
Underwritten by: Infinity Select Insurance Company
Claims Service: (800) 334-1661
NOTICE OF CANCELLATION OF AUTOMOBILE POLICY
�opy To Policy ID Number
504-61012-0414-001
The City of Palm Springs Its officials,
3200 East Tahquitz Canyon Way Dab of Notice
Palm Springs, CA 92262 10/31/2022
Cancellation Dab
11/15/2022 12:01 a.m.
Named Insured:
SO CAL LAND MAINTENANCE
AGENCY SERVICE BUREAU
3121 E LA PALMA AVE
PO Box 750997
STE K
Petaluma, CA 94975
ANAHEIM, CA 92806-2804
YOU ARE HEREBY NOTIFIED, IN ACCORDANCE WITH THE TERMS AND CONDITIONS
OF THE POLICY, THAT INSURANCE WILL CANCEL AT 12:01 AM ON 11115/2022 ,
Reason For Cancellation
Non-payment: Premium and/or fees due on 10/28/2022 in the amount of $3502.85. This amount, and all other
amounts due before the cancellation date,must be received prior to the cancellation date for the policy to be
considered for reinstatement.
Unless the reason accompanies, or is Included in the Notice of Cancellation, the notice shall state or be
accompanied b a statement that, upon written request of the named insured, mailed or delivered to the insurer
the
not less than 1y5 days prior to the effective date of cancellation, the insurer will specify reason of such
cancellation. Such reason shall be mailed or delivered to the named insured within five days after the receipt of
such request.
Pursuant to Section 652 of the Insurance Code, you are hereby notified that:
1. The California Automobile Assigned Risk Plan provides a means by which applicants for
automobile bodily injury and property damage liability Insurance may be assigned an insurer authorized to
transact liability insurance.
2. If you are unable to procure such insurance through ordinary methods, and you are in good faith
for insurance in accordance with the standards of the Plan, it is for o obtain it
eligible such possible you
through the plan.
3. Application forms for insurance through the Plan may be obtained from and submitted through
(a) any licensed insurance agent or broker or
b the Plan itself 425 California Street, O. Box 7917, San Francisco, CA 94120
at
ADDL INSURED COPY
AMEND DATE: 11/15/2022
a
8
8
50461 PNC01
ENDORSEMENT: 5-14