Insurance Rescission Notice SCOTTSDALE INSURANCE COMPANY
333 SOUTH SEVENTH ST., SUITE 1300
MINNEAPOLIS MN 55402
RESCISSION NOTICE
Named Insured&Mailing Address: Producer: FALW..
STEVENS INVESTMENTS LLC FALCON WEST INSURANCE BROK
6330 HAZELTINE BLVD 2525 CAMINO DEL RIO S
SUITE 100
CHANHASSEN MN 55331 SAN DIEGO CA 92108
Policy No.: CPS2310283
Type of Policy: GENERAL LIABILITY OCCURRENCE
The CANCELLATION notice issued to be effective 02/01/2016 is hereby rescinded.
Date Mailed:
25th day of January, 2016
Additional Insured
CITY OF CHANHASSEN
7700 MARKET BLVD Gregory J. /Price
PO BOX 147
CHANHASSEN MN 55317 AUTHORIZED REPRESENTATIVE
MNCS15RSCN_C
FORM#CS01 MN22006 01252016SINY
ODEN 3.0.15 122 Copy for Additional Insured Page 1 of 1